Active NPI
Kelly Straub
- Physician Assistant
- East Meadow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1530 Front St
East Meadow, NY 11554-2265 - Phone
- (516) 758-8670
- NPI assigned
- Jan 21, 2016
- 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 | Primary |
Addresses
Primary practice location
1530 Front St
East Meadow, NY 11554-2265
Mailing address
2800 Marcus Ave # 110
New Hyde Park, NY 11042-1113
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmadden466469@nyumc.direct-ci.com | ||
| Direct Messaging Address | kmadden466469@nyumc.direct-ci.com |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
1300 Franklin Ave
Suite Ul3A
Garden City, NY 11530-1885
Phone (516) 747-8900
1530 Front St
East Meadow, NY 11554-2265
Phone (516) 324-7500
16 TH St and 1St Ave
New York, NY 10003-3804
Phone (212) 420-2000
301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Long Island Emergency Care PC | Past | Accepting new patients |
Locations
1530 Front St
East Meadow, NY 11554
Phone (516) 324-7500
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Emergency Medicine Physician
- Rockville Center, NY
- NPI 1063464568
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1649637737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE # 110",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 FRONT ST",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542265",
"telephone_number": "516-758-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAUB",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmadden466469@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "1530 Front St",
"city": "East Meadow",
"state": "NY",
"country_code": "US",
"postal_code": "115542265",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmadden466469@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "1530 Front St",
"city": "East Meadow",
"state": "NY",
"country_code": "US",
"postal_code": "115542265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.