Individual provider Active NPI

Jennifer Ann Spana, RPA-C

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1568608941
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
005065-1 Issued in NY
Practice address
1 Gustave L Levy PL
Mount Sinai Hospital/Dept Cardiothoracic Surgery
New York, NY 10029-6500
Phone
(212) 241-7918
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 005065-1 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
Mount Sinai Hospital/Dept Cardiothoracic Surgery
New York, NY 10029-6500

Mailing address

1 Gustave L Levy PL
Mount Sinai Hospital/Dept Cardiothoracic Surgery
New York, NY 10029-6500
Phone (212) 241-7918

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160620001467 NY Practitioner - Physician Assistant 7911298153 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005065-1NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

2 Longview Ave
Fl 5
White Plains, NY 10601
Phone (914) 849-7650

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1568608941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "MOUNT SINAI HOSPITAL/DEPT CARDIOTHORACIC SURGERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "MOUNT SINAI HOSPITAL/DEPT CARDIOTHORACIC SURGERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296500",
            "telephone_number": "212-241-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005065-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.