Asha Antony, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

21 Eastport Manor Rd
Eastport, NY 11941-1410

Phone

(631) 325-2255

NPI assigned

Jun 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Medical PC Dba Emergency OneGroup PAC ID 0648161653, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8524/brand/1/csg/1/fhir/r4

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.

• Anderson Medical P.C. Dba Emergency One

  • Urgent Care Clinic/Center
  • Kingston, NY
  • NPI 1114043411

  NY

  Medicare reassignment Care Compare group
• First Choice Medical PLLC

  • Internal Medicine Physician
  • Holbrook, NY
  • NPI 1043355159
  NPD
• R&T Medical PC

  • Family Medicine Physician
  • East Patchogue, NY
  • NPI 1093066953
  NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1568032001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTPORT MANOR RD",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411410",
            "telephone_number": "631-325-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTPORT MANOR RD",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411410",
            "telephone_number": "631-325-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "ASHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Alexa Addonisio, M. S. CCC-SLP
• Lisa Kathleen Berg-Anderson, M.S.
• Ada Eileen Catala, PT
• Emily Joan Cavanaugh
• Theresa Ceruti, MS
• Shannon Tracy Constantine

• All providers in Eastport, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.