Active NPI
Aya Restrepo, PA
- Physician Assistant
- Fenton, MI
National Provider Identifier
1447582234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601005647
- Practice address
- 305 N Leroy St
Fenton, MI 48430-2729 - Phone
- (810) 629-9200
- Fax
- (810) 629-9653
- NPI assigned
- Feb 4, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005647 | MI | Primary |
Addresses
Primary practice location
305 N Leroy St
Fenton, MI 48430-2729
Mailing address
305 N Leroy St
Fenton, MI 48430-2729
Phone (810) 629-9200
Other practice location 1
32669 Warren Rd
Garden City, MI 48135-1677
Phone (734) 762-0798
Other practice location 2
44056 Mound Rd Ste 101
Sterling Heights, MI 48314-1357
Phone (586) 314-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H231390 | Other | MI | BCBSM GROUP NUMBER |
Other names 1
- Aya Imad Abu-Hamdan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447582234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N LEROY ST",
"city": "FENTON",
"state": "MI",
"postal_code": "484302729",
"telephone_number": "810-629-9200",
"fax_number": "810-629-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N LEROY ST",
"city": "FENTON",
"state": "MI",
"postal_code": "484302729",
"telephone_number": "810-629-9200",
"fax_number": "810-629-9653"
}
],
"practiceLocations": [
{
"address_1": "32669 Warren Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481351677",
"country_code": "US",
"telephone_number": "734-762-0798",
"fax_number": "734-762-6682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44056 Mound Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483141357",
"country_code": "US",
"telephone_number": "586-314-1400",
"fax_number": "586-314-1406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESTREPO",
"first_name": "AYA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601005647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP NUMBER",
"identifier": "700H231390",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AYA",
"last_name": "ABU-HAMDAN",
"middle_name": "IMAD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.