Active NPI
Cristy Kokell-Grassi, PA
- Physician Assistant
- Huntington, NY
National Provider Identifier
1588751994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006751
- Practice address
- 172 E Main St
Huntington, NY 11743-2948 - Phone
- (631) 385-0022
- Fax
- (631) 385-0896
- NPI assigned
- Oct 6, 2006
- 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 | 006751 | NY | Primary |
Addresses
Primary practice location
172 E Main St
Huntington, NY 11743-2948
Mailing address
172 E Main St
Huntington, NY 11743-2948
Phone (631) 385-0022
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130514000191 | NY | Order and Referring Only - Physician Assistant | 8921083114 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006751 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1588751994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432948",
"telephone_number": "631-385-0022",
"fax_number": "631-385-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432948",
"telephone_number": "631-385-0022",
"fax_number": "631-385-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKELL-GRASSI",
"first_name": "CRISTY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "006751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.