Individual provider Active NPI

Sarah Jean Vanwynen, PA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1689339731
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
027746 Issued in NY
Practice address
215 E 85TH St
New York, NY 10028-3108
Phone
(646) 962-7398
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X 027746 NY Primary

Addresses

Primary practice location

215 E 85TH St
New York, NY 10028-3108

Mailing address

215 E 85TH St
New York, NY 10028-3108
Phone (646) 962-7398

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address sav4021@direct.nyp.org Direct
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206002218 NY Practitioner - Physician Assistant 2769872738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

201 E 68TH St
New York, NY 10065-5734
Phone (212) 746-7319

215 E 85TH St
New York, NY 10028-3108
Phone (646) 962-7300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
027746NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jul 1, 2024 Accepting new patients
Weill Medical College of Cornell University CurrentSince Jul 1, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 15, 2021 Accepting new patients
Westchester Medical Center Past Accepting new patients
Cornell University Medical College Past Accepting new patients
Weill Cornell University Medical College Past Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3800S
Hawthorne, NY 10532
Phone (914) 493-4634

19 Bradhurst Ave
Ste 2700S
Hawthorne, NY 10532
Phone (914) 493-2250

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

689 Mamaroneck Ave
Mamaroneck, NY 10543
Phone (914) 253-1100

215 E 85th St
New York, NY 10028
Phone (646) 962-7300

428 E 72nd St
Ofc 300
New York, NY 10021
Phone (212) 746-2083

211 E 80th St
Fl 2
New York, NY 10075
Phone (646) 962-8690

40 Worth St
Rm 402
New York, NY 10013
Phone (646) 962-3400

38 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 879-7777

425 E 61st St
Fl 12
New York, NY 10065
Phone (646) 962-2399

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Fl 3
Valhalla, NY 10595
Phone (914) 533-4111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
  • Direct secure messaging: sav4021@direct.nyp.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1689339731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283108",
            "telephone_number": "646-962-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283108",
            "telephone_number": "646-962-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWYNEN",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "027746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "215 E 85th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100283108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sav4021@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "215 E 85th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100283108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "215 E 85th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100283108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.