Jason Michael Astafan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

354414 Issued in NY

Practice address

5586 Legionnaire Dr
Cicero, NY 13039-3504

Phone

(315) 728-6903

Fax

(315) 204-1070

NPI assigned

Jun 5, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caring Family Health Nurse Practitioners, PLLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Caring Family Health Nurse Practitioners, PLLC

  • Family Nurse Practitioner
  • North Syracuse, NY
  • NPI 1194413591

  Family, NY

  Medicare reassignment Care Compare group NPD
• Zaki Badawy, MD PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1871206474

  NY

  Medicare reassignment NPD
• Step Nutrition LLC

  • Health Maintenance Organization
  • East Syracuse, NY
  • NPI 1487343844
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1720829435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRENT LN",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311615",
            "telephone_number": "315-408-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5586 LEGIONNAIRE DR",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130393504",
            "telephone_number": "315-728-6903",
            "fax_number": "315-204-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTAFAN",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allcare Dental & Dentures of Ny PC
• Jennifer Ambrose
• Richard George Arnold, RPH
• Nicole Ashby, LPN
• Associate Hearing Aid Corp
• Elizabeth Azzoto
• Vanessa J. Azzoto, OPTICIAN
• Back on Track Chiropractic, LLC
• Back to the Future Chiropractic
• Stacey M Banta

• All providers in Cicero, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.