Active NPI
Christine Mikhail, RPA-C
- Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA059496
- Practice address
- 10800 Knights Rd Ste 240
Philadelphia, PA 19114-4200 - Phone
- (215) 632-3500
- NPI assigned
- Aug 30, 2010
- 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 | MA059496 | PA | Primary |
Addresses
Primary practice location
10800 Knights Rd Ste 240
Philadelphia, PA 19114-4200
Mailing address
10 Presidential Blvd
Ste 124
Bala Cynwyd, PA 19004-1107
Phone (610) 664-9700
Other practice location 1
1050 Clove Rd
Staten Island, NY 10301-3627
Phone (718) 816-6440
Other practice location 2
3 Eves Dr Ste 311
Marlton, NJ 08053-3129
Phone (856) 983-9001
Other practice location 3
10 Presidential Blvd
Ste 124
Bala Cynwyd, PA 19004-1107
Phone (610) 664-9700
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
39 Brentwood Rd
Bay Shore, NY 11706-8010
Phone (631) 666-5864
Hospital & facility affiliations
- North Shore University Hospital
- NS/Lij HS Southside Hospital
- Long Island Jewish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059496 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Staten Island Physician Practice PC | Past | Accepting new patients | |
| Fox Chase Pain Management Associates, PC | Past | Accepting new patients | |
| Peconic Bay Primary Medical Care | Past | Accepting new patients | |
| Louis Spagnoletti, M.D., LLC | Past | Accepting new patients | |
| Revive Spine and Pain Center | Past | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- cmikhail@gidoc.medentdirect.com
- christinemikhail@nslijmedgr.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Specialist
- Trevose, PA
- NPI 1881649416
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Marlton, NJ
- NPI 1538363551
-
- Internal Medicine Physician
- Mattituck, NY
- NPI 1487620613
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Marlton, NJ
- NPI 1457896003
-
- Internal Medicine Physician
- New York, NY
- NPI 1568413169
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1639485576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PRESIDENTIAL BLVD",
"address_2": "STE 124",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041107",
"telephone_number": "610-664-9700",
"fax_number": "610-664-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 KNIGHTS RD STE 240",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191144200",
"telephone_number": "215-632-3500"
}
],
"practiceLocations": [
{
"address_1": "1050 Clove Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103013627",
"country_code": "US",
"telephone_number": "718-816-6440",
"fax_number": "718-816-3115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Eves Dr Ste 311",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080533129",
"country_code": "US",
"telephone_number": "856-983-9001",
"fax_number": "856-983-9001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 PRESIDENTIAL BLVD",
"address_2": "STE 124",
"address_purpose": "LOCATION",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041107",
"country_code": "US",
"telephone_number": "610-664-9700",
"fax_number": "610-664-6391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKHAIL",
"first_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.