Active NPI
Kathy Certain McCook, PAC
- Physician Assistant
- Bronx, NY
National Provider Identifier
1700195385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003006-1
- Practice address
- 4422 Third Ave
St. Barnabas Hospital Attn: Medical Staff
Bronx, NY 10457 - Phone
- (718) 960-9000
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003006-1 | NY | Primary |
Addresses
Primary practice location
4422 Third Ave
St. Barnabas Hospital Attn: Medical Staff
Bronx, NY 10457
Mailing address
4422 Third Ave
Attn: Medical Staff
Bronx, NY 10457
Phone (718) 960-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003006-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1700195385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 THIRD AVE",
"address_2": "ATTN: MEDICAL STAFF",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-960-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 THIRD AVE",
"address_2": "ST. BARNABAS HOSPITAL ATTN: MEDICAL STAFF",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-960-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOOK",
"first_name": "KATHY",
"middle_name": "CERTAIN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "003006-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.