Patricia J Quinones, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004977-1 Issued in NY

Practice address

122 E Main St
Walden, NY 12586-1554

Phone

(845) 778-0423

NPI assigned

Sep 29, 2013

Sex

Female

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 FL, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment
• FM Medical Inc

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1588091029
  NPD
• FM Medical Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1053790246
  NPD
• Edgard Quinones P.C.

  • Internal Medicine Physician
  • Walden, NY
  • NPI 1861763096
  NPD (past)

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380412800000",
    "number": "1669809182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 JOSEPH CT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505015",
            "telephone_number": "845-662-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861554",
            "telephone_number": "845-778-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-29",
        "last_updated": "2013-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004977-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa B Poinsette, LPN
• David Popo Filigrana
• Ingeborg Porco
• Susan S Qu, RPH
• Edgard Quinones, MD
• Lori S Randolph, M.S.ED
• Michael C Raucci, D.C., D.I.B.C.N.
• Crystle Regulbuto, MS IN EDUCATION
• Shanita Michelle Reynolds, RN,MSN,CMSRN,NE-BC
• Lorina Robles

• Physician Assistant in Walden, NY
• Providers in Walden, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2013; 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.