Individual provider Active NPI

Aswathy Krishnakumar, PA-C

  • Physician Assistant
  • West Hempstead, NY
National Provider Identifier
1457980302
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152
Phone
(516) 505-7200
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152

Mailing address

510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20210920001091 MO Practitioner - Physician Assistant 3870990740 Reassigns benefits to 1 organization
I20220629003161 NY Practitioner - Physician Assistant 3870990740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aldad Medical PCGroup PAC ID 9234291436, 78 clinicians

Practice addresses (Care Compare)

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2100

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1457980302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 203",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 203",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152",
            "telephone_number": "516-505-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAKUMAR",
        "first_name": "ASWATHY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

Verify at the official NPI Registry.