Individual provider Active NPI

Elana Kwestel, PA-C

  • Physician Assistant
  • Flushing, NY
National Provider Identifier
1699455220
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030101 Issued in NY
Practice address
11909 26TH Ave
Flushing, NY 11354-1022
Phone
(718) 762-6100
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 030101 NY Primary

Addresses

Primary practice location

11909 26TH Ave
Flushing, NY 11354-1022

Mailing address

11909 26TH Ave
Flushing, NY 11354-1022

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
I20230814003154 NY Practitioner - Physician Assistant 4183086770 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030101NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Star Medical Association of NJ PC CurrentSince Jan 26, 2026 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

615 Avenue C
Brooklyn, NY 11218
Phone (718) 633-3300

1050 Central Ave
Woodmere, NY 11598
Phone (516) 374-9300

Organizations & group practices 4

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1699455220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541022",
            "telephone_number": "718-762-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWESTEL",
        "first_name": "ELANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.