Individual provider Active NPI

Ava Graham Dawson, PNP

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1588934186
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382256 Issued in NY
Practice address
272 6TH Ave
New York, NY 10014-4721
Phone
(212) 477-5316
Fax
(646) 661-2871
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382256 NY Primary

Addresses

Primary practice location

272 6TH Ave
New York, NY 10014-4721

Mailing address

453 FDR Drive
C104
New York, NY 10002
Phone (347) 371-0323

Other practice location 1

181 Old Country Rd
Carle Place, NY 11514-1907
Phone (516) 726-1376

Other practice location 2

1273 Coney Island Ave
Brooklyn, NY 11230-3520
Phone (718) 514-7952

Other practice location 3

7020 Austin St
Forest Hills, NY 11375-4775
Phone (718) 489-2963

Other practice location 4

240 Atlantic Ave
Brooklyn, NY 11201-5762
Phone (718) 831-6731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230301000321 PA Practitioner - Nurse Practitioner 5092188748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
382256NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health Care Associates, Inc CurrentSince Nov 18, 2022 Accepting new patients
Childen's Health Care Associates Inc. CurrentSince Nov 18, 2022 Accepting new patients
Childrens Health Care Associates, Inc Current Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
PM Pediatrics PC Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients

Locations

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3401 Civic Center Blvd
#M975
Philadelphia, PA 19104

Interoperability endpoints

  • Direct secure messaging: ava.dawson@pmuc.eclinicaldirectplus.com

Organizations & group practices 6

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1588934186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 FDR DRIVE",
            "address_2": "C104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "347-371-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144721",
            "telephone_number": "212-477-5316",
            "fax_number": "646-661-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Carle Place",
            "state": "NY",
            "postal_code": "115141907",
            "country_code": "US",
            "telephone_number": "516-726-1376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1273 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112303520",
            "country_code": "US",
            "telephone_number": "718-514-7952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7020 Austin St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754775",
            "country_code": "US",
            "telephone_number": "718-489-2963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015762",
            "country_code": "US",
            "telephone_number": "718-831-6731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "AVA",
        "middle_name": "GRAHAM",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.