Keriann Giacomazza, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016497 Issued in NY

Practice address

6040 Marathon Pkwy
Flushing, NY 11362-2041

Phone

(718) 631-3778

NPI assigned

Feb 19, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dermatology and Skin Surgery Center, Professional AssociationGroup PAC ID 8426194036, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology and Skin Surgery Center, Professional Association

  • Procedural Dermatology Physician
  • Florham Park, NJ
  • NPI 1811129141
  Medicare reassignment Care Compare group
• Yasemin Osman MD PLLC

  • Specialist
  • Douglaston, NY
  • NPI 1023046109
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1366867913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 MARATHON PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113622041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 MARATHON PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113622041",
            "telephone_number": "718-631-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACOMAZZA",
        "first_name": "KERIANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Abraham Gherman, D.D.S.
• GHF Pharmacy Inc
• Hueychung Ghi, DDS
• Mariam Ghobrial, DDS
• Susan Hosny Ghobrial, DO
• Giacomino Di Giorgio MD PLLC
• Maria L Gianforcaro, MS ED
• Victoria Eleanore Gianfrancesco, MFT-LP
• Farrah Gibbs, RN
• Tara Gibbs

• Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.