Individual provider Active NPI

Maria Kalnaya, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1639575111
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018240 Issued in NY
Practice address
301 E 17TH Street
New York, NY 10003
Phone
(212) 598-6176
Fax
(212) 598-6352
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 018240 NY Primary

Addresses

Primary practice location

301 E 17TH Street
New York, NY 10003

Mailing address

303 2ND Ave
1St Floor, Suite 16
New York, NY 10003
Phone (212) 598-6176

Other practice location 1

303 2nd Ave
Suite 16
New York, NY 10003
Phone (212) 598-6176

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
I20150223000243 NY Practitioner - Physician Assistant 4789909466 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018240NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Feb 3, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 3, 2025 Accepting new patients
New York University CurrentSince Aug 15, 2017 Accepting new patients
New York University CurrentSince Aug 15, 2017 Accepting new patients
Bogdan Pain Management Services P.C. Past Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

156 William St
Fl 6
New York, NY 10038
Phone (646) 962-2620

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mak9319@direct.nyp.org

Organizations & group practices 7

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1639575111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 2ND AVE",
            "address_2": "1ST FLOOR, SUITE 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-598-6176",
            "fax_number": "212-598-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 17TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-598-6176",
            "fax_number": "212-598-6352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 2nd Ave",
            "address_2": "Suite 16",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10003",
            "country_code": "US",
            "telephone_number": "212-598-6176",
            "fax_number": "212-598-6352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALNAYA",
        "first_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.