Active NPI
Marie Ange Audain, RPA-C
- Medical Physician Assistant
- Far Rockaway, NY
National Provider Identifier
1659673176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 014515
- Practice address
- 327 Beach 19TH St
Far Rockaway, NY 11691-4423 - Phone
- (718) 869-7000
- Fax
- (718) 869-8622
- NPI assigned
- Dec 4, 2010
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 014515 | NY | Primary |
Addresses
Primary practice location
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Mailing address
5645 Main St
Flushing, NY 11355-5045
Phone (347) 454-8234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G400038160 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110308000140 | NY | Practitioner - Physician Assistant | 8820013592 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York Queens Medicine and Surgery, P.C.
Practice addresses (Care Compare)
1402 150TH St
Whitestone, NY 11357-1764
Phone (718) 353-8933
16303 Horace Harding Expy
Fresh Meadows, NY 11365-1449
5620 Main St
Flushing, NY 11355-5046
Phone (718) 670-1837
5626 Main St
Flushing, NY 11355-5046
Phone (718) 670-1185
5634 Main St
Flushing, NY 11355-5046
Phone (718) 670-2468
Hospital & facility affiliations
- New York-Presbyterian/Queens
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| St Johns Emergency Medical Services PC | Past | Accepting new patients |
Locations
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- maa9278@direct.nyp.org
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.
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1669635231
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671235200000",
"number": "1659673176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "347-454-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-7000",
"fax_number": "718-869-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUDAIN",
"first_name": "MARIE",
"middle_name": "ANGE",
"name_prefix": "Ms.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-04",
"last_updated": "2022-12-17",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "014515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G400038160",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5645 Main St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.