Individual provider Active NPI

Christy McGorman, P.A.

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1366965774
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021054 Issued in NY
Practice address
100 East 77TH. St.
Lenox Hill Emergency Department
New York, NY 10075
Phone
(212) 434-3042
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 021054 NY Primary
Physician Assistant 363A00000X 0110008563 VA

Addresses

Primary practice location

100 East 77TH. St.
Lenox Hill Emergency Department
New York, NY 10075

Mailing address

100 East 77TH. St.
Lenox Hill Emergency Department
New York, NY 10075
Phone (212) 434-3042

Other names 1

  • Miss Christy Sim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171101002733 NY Practitioner - Physician Assistant 3678839966 Reassigns benefits to 2 organizations
I20221103000796 VA Practitioner - Physician Assistant 3678839966 Reassigns benefits to 3 organizations
I20240112002034 DC Practitioner - Physician Assistant 3678839966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021054NYMDPsychologist
0110008563VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, PA. CurrentSince Jan 10, 2024 Accepting new patients
American Current Care PA CurrentSince Jan 10, 2024 Accepting new patients
American Current Care P.a. CurrentSince Jan 10, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 5, 2017 Accepting new patients

Locations

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4301 W Broad St
Richmond, VA 23230
Phone (804) 358-0361

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1366965774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST 77TH. ST.",
            "address_2": "LENOX HILL EMERGENCY DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-434-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST 77TH. ST.",
            "address_2": "LENOX HILL EMERGENCY DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-434-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGORMAN",
        "first_name": "CHRISTY",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021054",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "SIM",
            "prefix": "MISS",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.