Active NPI
Emma Kavo, PA-C
- Physician Assistant
- Middle Village, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6122G Fresh Pond Rd
Middle Village, NY 11379-1040 - Phone
- (718) 502-3000
- NPI assigned
- Aug 14, 2017
- Last updated
- Aug 31, 2022
- 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 | Primary |
Addresses
Primary practice location
6122G Fresh Pond Rd
Middle Village, NY 11379-1040
Mailing address
6122G Fresh Pond Rd
Middle Village, NY 11379-1040
Phone (718) 502-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550
50 Westchester Ave
Port Chester, NY 10573-4324
Phone (914) 460-7740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020971 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore Health System Medical Faculty Group Practice Inc | Past | Accepting new patients | |
| Jersey Irish Medical | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
Interoperability endpoints
- emmaungureanu@nslijmedgr.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AFC Urgent Care Yorktown
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba Centers Urgent Care
- Internal Medicine Physician
- Middle Village, NY
- NPI 1275936932
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1629594494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6122G FRESH POND RD",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791040",
"telephone_number": "718-502-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6122G FRESH POND RD",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791040",
"telephone_number": "718-502-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVO",
"first_name": "EMMA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.