Individual provider Active NPI

Carmel Sarreal Paredes, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New York, NY
National Provider Identifier
1720068091
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007069 Issued in NY
Practice address
18 E 41St St FL 14
New York, NY 10017-6244
Phone
(305) 395-4313
Fax
(305) 912-4323
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 007069 NY Primary

Addresses

Primary practice location

18 E 41St St FL 14
New York, NY 10017-6244

Mailing address

747 W 231St St
Bronx, NY 10463-1003
Phone (917) 517-5816

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
I20260126001067 NY Practitioner - Physician Assistant 1951888528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 E 41St St
FL 14
New York, NY 10017-6244

747 W 231St St
Bronx, NY 10463-1003

7526 Bell Blvd
Apt 1D
Oakland Gardens, NY 11364-3436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Neurology Consultants PA CurrentSince Oct 21, 2025 Accepting new patients
Cognitive Neurology Consultants PA CurrentSince Jan 1, 2026 Accepting new patients

Locations

18 E 41st St
Fl 14
New York, NY 10017
Phone (305) 395-4313

Organizations & group practices 3

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1720068091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 W 231ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631003",
            "telephone_number": "917-517-5816",
            "fax_number": "305-912-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 41ST ST FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176244",
            "telephone_number": "305-395-4313",
            "fax_number": "305-912-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "CARMEL",
        "middle_name": "SARREAL",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.