Individual provider Active NPI

Cassandra Lara Sobkiw-Kurtz, PA-C

  • Medical Physician Assistant
  • Hudson, NY
National Provider Identifier
1508034109
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1099 Issued in NV
Practice address
30 Prospect Ave FL 1
Emergency Treatment Associates
Hudson, NY 12534-2908
Phone
(518) 751-1016
Fax
(518) 751-1020
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1099 NV Primary

Addresses

Primary practice location

30 Prospect Ave FL 1
Emergency Treatment Associates
Hudson, NY 12534-2908

Mailing address

104 Lighthouse LN
Egg Harbor Township, NJ 08234-6969
Phone (856) 952-7664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, KY3 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
I20091002000289 NY Practitioner - Physician Assistant 2860571874 Reassigns benefits to 1 organization
I20150226001683 NJ Practitioner - Physician Assistant 2860571874 Reassigns benefits to 9 organizations
I20260420000651 KY Practitioner - Physician Assistant 2860571874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Em-I Medical Services PSCGroup PAC ID 8325001175, 42 clinicians

Practice addresses (Care Compare)

1 Trillium Way
Corbin, KY 40701-8426
Phone (954) 939-5000

Hospital & facility affiliations

  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013509NYMDClinical Psychologist
1099NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 1, 2023 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince May 21, 2018 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jul 1, 2023 Accepting new patients
Main Line Emergency Med Associates LLC Past Accepting new patients
Columbia Emergency Services, PC Past Accepting new patients
Lake Mead Emergency Physicians, LLC Past Accepting new patients

Locations

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

43 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3131

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

365 Broadway
Kingston, NY 12401
Phone (845) 331-5165

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

Interoperability endpoints

  • Direct secure messaging: csobkiwkurtz101267@albanymed.direct-ci.com
  • Direct secure messaging: csobkiwkurtz1359887@ahs.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1508034109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LIGHTHOUSE LN",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346969",
            "telephone_number": "856-952-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE FL 1",
            "address_2": "EMERGENCY TREATMENT ASSOCIATES",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342908",
            "telephone_number": "518-751-1016",
            "fax_number": "518-751-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBKIW-KURTZ",
        "first_name": "CASSANDRA",
        "middle_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "1099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.