Active NPI
Kristen Nicole Lima, R.P.A.-C
- Physician Assistant
- Suffern, NY
National Provider Identifier
1649425695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012937-1
- Practice address
- 100 Route 59
Suite 101
Suffern, NY 10901-4927 - Phone
- (845) 369-8800
- Fax
- (845) 357-0086
- NPI assigned
- Nov 18, 2008
- 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 | 012937-1 | NY | Primary |
Addresses
Primary practice location
100 Route 59
Suite 101
Suffern, NY 10901-4927
Mailing address
100 Route 59
Suite 101
Suffern, NY 10901-4927
Phone (845) 369-8800
Other names 1
- Kristen Nicole Bladel
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Grand St
FL 3
Warwick, NY 10990-1035
Phone (845) 987-3906
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012937 | NY | MD | Chiropractor |
| 012937-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramapo Valley Surgical Associates Prof Corp | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
-
- Surgery Physician
- Suffern, NY
- NPI 1003908880
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1649425695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 101",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-369-8800",
"fax_number": "845-357-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 101",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-369-8800",
"fax_number": "845-357-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMA",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "R.P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012937-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BLADEL",
"middle_name": "NICOLE",
"credential": "R.P.A.-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Suffern, NY
- Liebergall Eye Associates, M.D.,P.C.
- David Alan Liebergall, M.D.
- Gordon Sidney Liebergall, M.D.
- Carolyn A Lifrieri, MSN, APRN-BC
- Baruch Lifshitz, DDS
- Beverly Lipson, L.C.S.W.
- Little Munchkins Early Intervention Inc
- Live to Thrive
- Live to Thrive Mental Health Counseling, PLLC (Live to Thrive Counseling)
- Live Well Social Adult Daycare Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.