Roy G Hammonds, RPA-C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

003412 Issued in NY

Practice address

2 Crosfield Avenue
Suite 318
West Nyack, NY 10994

Phone

(845) 353-5600

Fax

(845) 689-9107

NPI assigned

Oct 11, 2006

Last updated

Dec 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• KJ Medical Practice PC

  dba Elite Healthcare

  • Pediatrics Physician
  • Monroe, NY
  • NPI 1366739088
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1649368887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "STE 218",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942221",
            "telephone_number": "845-353-5600",
            "fax_number": "845-353-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVENUE",
            "address_2": "SUITE 318",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "10994",
            "telephone_number": "845-353-5600",
            "fax_number": "845-689-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "ROY",
        "middle_name": "G",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "003412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Francis Gurniak, M.D.
• Moosa Haider, M.D.
• Tehseen Haider, M.D.
• Lindsey J Hamill, PA-C
• Mara Hammerschmidt, CCC-SLP TSSLD
• Donna Hanley
• Deborah Hansen, RD, CDN
• Heather Lynn Hanson, DPT
• Leon S Harris, MD
• Hunter Nicole Harrow, LCSW

• Internal Medicine Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.