Active NPI
Katherine E. Maceda, P.A.
- Physician Assistant
- New York, NY
National Provider Identifier
1558539486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012381
- Practice address
- 10 Union SQ E
Suite 4K
New York, NY 10003-3314 - Phone
- (212) 995-6495
- Fax
- (212) 844-6772
- NPI assigned
- Feb 13, 2008
- 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 | 012381 | NY | Primary |
Addresses
Primary practice location
10 Union SQ E
Suite 4K
New York, NY 10003-3314
Mailing address
920 Broadway
Suite 704
New York, NY 10010-6004
Phone (646) 602-8030
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012381 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1558539486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 BROADWAY",
"address_2": "SUITE 704",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106004",
"telephone_number": "646-602-8030",
"fax_number": "646-602-9154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"address_2": "SUITE 4K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-995-6495",
"fax_number": "212-844-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACEDA",
"first_name": "KATHERINE",
"middle_name": "E.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.