Active NPI
Betty Kui, PA-C
- Physician Assistant
- Nanuet, NY
National Provider Identifier
1417690231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 028536
- Practice address
- 233 W Route 59
Nanuet, NY 10954-2225 - Phone
- (845) 510-2200
- Fax
- (845) 215-5611
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 028536 | NY | Primary |
Addresses
Primary practice location
233 W Route 59
Nanuet, NY 10954-2225
Mailing address
6313 83Rd PL
Middle Village, NY 11379-1949
Phone (609) 664-6634
Other practice location 1
11120 Queens Blvd
Forest Hills, NY 11375-6303
Phone (516) 200-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobby Buka, M.D., P.C. | Multi-Specialty | Current | Accepting new patients |
| Derm Specs of PA PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
1027 46th Ave
Fl 1
Long Island City, NY 11101
214 Sullivan St
New York, NY 10012
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAA
Organizations & group practices 3
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 Physician
- Greenvale, NY
- NPI 1336618941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1417690231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6313 83RD PL",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791949",
"telephone_number": "609-664-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 W ROUTE 59",
"city": "NANUET",
"state": "NY",
"postal_code": "109542225",
"telephone_number": "845-510-2200",
"fax_number": "845-215-5611"
}
],
"practiceLocations": [
{
"address_1": "11120 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113756303",
"country_code": "US",
"telephone_number": "516-200-3545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUI",
"first_name": "BETTY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "028536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.