Active NPI
Cheryl Lynn Van Hare, PA
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 034188
- Practice address
- 489 5TH Ave FL 3
New York, NY 10017-6145 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Aug 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9111852 | FL | |
| Physician Assistant | 363A00000X | 034188 | NY | Primary |
Addresses
Primary practice location
489 5TH Ave FL 3
New York, NY 10017-6145
Mailing address
21332 Pagosa CT
Boca Raton, FL 33486-1417
Phone (561) 271-4072
Other practice location 1
1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone (561) 220-1469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 W Yamato Rd
Suite A7
Boca Raton, FL 33431-4429
Phone (561) 288-0722
14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702
1809 N University Dr
Coral Springs, FL 33071-6001
Phone (954) 510-1900
2502 N Federal Hwy
Lighthouse Point, FL 33064-6856
Phone (954) 943-3880
3470 NW 62ND Ave
Margate, FL 33063-8311
Phone (954) 972-6868
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
5216 N Federal Hwy
Ft. Lauderdale, FL 33308-3202
Phone (954) 958-5858
6240 Coral Ridge Dr
Suite 105
Coral Springs, FL 33076-3390
Phone (954) 340-6898
6300 N Andrews Ave
Fort Lauderdale, FL 33309-2130
Phone (954) 492-2035
7007 W Broward Blvd
Unit 5
Plantation, FL 33317-2208
Phone (954) 791-3636
9650 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone (954) 885-9009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9111852 | FL | MD | Physician Assistant |
| 034188 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients |
Locations
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Urgent Care Clinic/Center
- Delray Beach, FL
- NPI 1881970168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1700433265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21332 PAGOSA CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861417",
"telephone_number": "561-271-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176145",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "1425 S Congress Ave",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334456384",
"country_code": "US",
"telephone_number": "561-220-1469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN HARE",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111852",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "034188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.