Individual provider Active NPI

Suma Joshua, PA

  • Physician Assistant
  • Mount Vernon, NY
National Provider Identifier
1720318769
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
012679 Issued in NY
Practice address
9 Union Ave
Williams School Based Health Center
Mount Vernon, NY 10550-3510
Phone
(914) 699-7200
Fax
(914) 699-0837
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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 012679 NY Primary

Addresses

Primary practice location

9 Union Ave
Williams School Based Health Center
Mount Vernon, NY 10550-3510

Mailing address

107 W 4TH St
Administration
Mount Vernon, NY 10550-4002
Phone (914) 699-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100913000728 NY Practitioner - Physician Assistant 4486779550 Reassigns benefits to 1 organization
I20260122001180 NJ Practitioner - Physician Assistant 4486779550 Reassigns benefits to 1 organization
I20260429001608 CA Practitioner - Physician Assistant 4486779550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stationmd Professional CorporationGroup PAC ID 6204184104, 64 clinicians

Practice addresses (Care Compare)

4885 Route 9
Staatsburg, NY 12580-6028
Phone 9086632929898

515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012679NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stationmd Professional Corporation CurrentSince Oct 29, 2025 Accepting new patients
Stationmd California PC CurrentSince Mar 30, 2026 Accepting new patients

Locations

2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637

515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sumaj@hiemail.healtheconnections.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1720318769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "address_2": "ADMINISTRATION",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504002",
            "telephone_number": "914-699-7200",
            "fax_number": "914-699-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 UNION AVE",
            "address_2": "WILLIAMS SCHOOL BASED HEALTH CENTER",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503510",
            "telephone_number": "914-699-7200",
            "fax_number": "914-699-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHUA",
        "first_name": "SUMA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.