Individual provider Active NPI

Christine Mikhail, RPA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1639485576
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059496 Issued in PA
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

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110122000043 NY Practitioner - Physician Assistant 6204015274 Reassigns benefits to 3 organizations

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
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

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 Hospital, Manhasset, NY, CCN 330106
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059496PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 6, 2020 Accepting new patients
New York University CurrentSince Mar 6, 2020 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 PastSince Feb 4, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cmikhail@gidoc.medentdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.