Active NPI
Serena Lynne Kalish, PA-C, CLC
- Physician Assistant
- Silver Spring, MD
National Provider Identifier
1366936247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1121 University Blvd W Apt 503
Silver Spring, MD 20902-3318 - Phone
- (516) 509-8713
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | ALPP-313868 | ||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1121 University Blvd W Apt 503
Silver Spring, MD 20902-3318
Mailing address
1121 University Blvd W Apt 503
Silver Spring, MD 20902-3318
Phone (201) 956-1363
Other names 1
- Serena Lynne Schwechter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 1St St
Suite a
San Francisco, CA 94105-3060
440 Franklin St
Bloomfield, NJ 07003-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Medical Care of New York PC | Current | Accepting new patients |
Locations
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
156 William St
Rm 303
New York, NY 10038
Phone (718) 866-4435
Organizations & group practices 2
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1780425447
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1578304242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1366936247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 UNIVERSITY BLVD W APT 503",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023318",
"telephone_number": "201-956-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 UNIVERSITY BLVD W APT 503",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209023318",
"telephone_number": "516-509-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALISH",
"first_name": "SERENA",
"middle_name": "LYNNE",
"credential": "PA-C, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2021-04-15",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "ALPP-313868",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SERENA",
"last_name": "SCHWECHTER",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.