Edwin Afena, PA

Key facts

NPI

1699412288

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

029341 (NY)

Practice address

315 S Manning Blvd
Albany, NY 12208-1707

Phone

(518) 525-1550

NPI assigned

May 16, 2022

Sex

Male

Sole proprietor

No

Organizations & group practices 8

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.

• Arcadian Medical Health PC General Practice Physician · Spring Valley, NY · NPI 1285432989
  Medicare reassignment Care Compare group NY
• Genesis Medical Health PC General Practice Physician · Spring Valley, NY · NPI 1295043099
  Medicare reassignment NPD NY
• Samaritan Hospital of Troy, New York General Acute Care Hospital · Troy, NY · NPI 1043267727
  Medicare reassignment NPD NY · PHYSICIAN ASSISTANT
• St. Peter'S Hospital of the City of Albany General Acute Care Hospital · Albany, NY · NPI 1518042357
  Medicare reassignment NPD NY · PHYSICIAN ASSISTANT
• Mill Basin Medical Health PC Internal Medicine Physician · Brooklyn, NY · NPI 1346006202
  Medicare reassignment NY
• Nys Medical Associate PLLC Internal Medicine Physician · Rego Park, NY · NPI 1104268572
  Medicare reassignment NY
• St. Peter'S Hospital of the City of Albany General Acute Care Hospital · Albany, NY · NPI 1497701106
  NPD PHYSICIAN ASSISTANT
• Barnwell Operations Associates LLC Skilled Nursing Facility · Valatie, NY · NPI 1669985354
  NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barnwell Operations Associates LLC Skilled Nursing Facility · Valatie, NY · NPI 1669985354
  Care Compare affiliation Nursing home
• St. Peter'S Hospital of the City of Albany General Acute Care Hospital · Albany, NY · NPI 1497701106
  Care Compare affiliation Hospital
• The Community Hospice Inc Community Based Hospice Care Agency · Albany, NY · NPI 1588631733
  Care Compare affiliation Hospice

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arcadian Medical Health PC (33 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospice, Inc, the Hospice · Albany, NY · CCN 331501
• St Peter'S Hospital Hospital · Albany, NY · CCN 330057
• The Grand Rehabilitation and Nursing at Barnwell Nursing home · Valatie, NY · CCN 335565

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles (5 of 8)

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: eafena2342448@direct.trinity-health.org

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2022.

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1699412288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFENA",
        "first_name": "EDWIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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