NPIMap

Individual provider Active NPI

Carol Habib, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1689456337
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
646 Park Ave
New York, NY 10065-6105
Phone
(516) 616-5500
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

646 Park Ave
New York, NY 10065-6105

Mailing address

646 Park Ave
New York, NY 10065-6105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521002420 NY Practitioner - Physician Assistant 5092157107 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Plastic Surgical Group, PCGroup PAC ID 1153340054, 39 clinicians

Practice addresses (Care Compare)

999 Franklin Ave
Garden City, NY 11530-2913

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Plainview Hospital Hospital, Plainview, NY, CCN 330331
  • Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030977NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince May 15, 2024 Accepting new patients
Mercy Medical Center CurrentSince May 15, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 1, 2024 Accepting new patients
CHS Physician Partners, PC CurrentSince May 15, 2024 Accepting new patients
CHS Physician Partners, P.C CurrentSince May 15, 2024 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

2200 Northern Blvd
Ste 201
Greenvale, NY 11548

55 Medford Ave
Unit D
Patchogue, NY 11772
Phone (631) 475-3020

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1441 South Ave
Ste 205
Staten Island, NY 10314

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: chabib@directaddress.net
  • Direct secure messaging: gfo9005@direct.nyp.org
  • Direct secure messaging: chabib69561@northwell.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1689456337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656105",
            "telephone_number": "516-616-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "CAROL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.