Kyle Raymond Eskridge, PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

023000 Issued in NY

Practice address

6144 Route 25a Ste 13
Wading River, NY 11792-2008

Phone

(631) 886-2844

NPI assigned

Nov 26, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: kyle.eskridge.1@19019.direct.athenahealth.com

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.

• Island Rheumatology and Osteoporosis, PC

  • Rheumatology Physician
  • Wading River, NY
  • NPI 1386158764
  Medicare reassignment

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1649740374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38A GRANT AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142624",
            "telephone_number": "516-474-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A STE 13",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922008",
            "telephone_number": "631-886-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38A Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117142624",
            "country_code": "US",
            "telephone_number": "516-474-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESKRIDGE",
        "first_name": "KYLE",
        "middle_name": "RAYMOND",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "023000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J Doyle, LPN
• Linda C Duruan, LCSW
• Karina Susanne Ellis, RD, LDN
• Ellyn Gately, OT, PLLC
• Donna M Erickson
• Debbie Lou Falborn
• Family Care Medical Center
• Christopher F Favazza
• Karen Marie Fields, PTA
• Kayla M Findley

• Rheumatology Physician in Wading River, NY
• Providers in Wading River, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.