Active NPI
Mya Niccole Twyman, PA-C
- Physician Assistant
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00554200
- Practice address
- 3424 Kossuth Ave
Bronx, NY 10467-2410 - Phone
- (718) 519-3333
- NPI assigned
- Nov 6, 2019
- Last updated
- May 11, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00554200 | NJ | Primary |
| Physician Assistant | 363A00000X | PA63697 | CA | |
| Physician Assistant | 363A00000X | 6369 | CT | |
| Physician Assistant | 363A00000X | 024328 | NY |
Addresses
Primary practice location
3424 Kossuth Ave
Bronx, NY 10467-2410
Mailing address
240 Mulberry St FL 1
Newark, NJ 07102-3528
Phone (973) 622-3900
Other practice location 1
238 Mulberry St Fl 1
Newark, NJ 07102-3528
Phone (973) 622-3900
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200320000983 | NY | Order and Referring Only - Physician Assistant | 3173951480 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1400 Pelham Pkwy S
Bronx, NY 10461-1119
45 Research Way
Suite 206
East Setauket, NY 11733-6401
66 W Gilbert St
Tinton Falls, NJ 07701-4948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024328 | NY | MD | Clinical Social Worker |
| PA63697 | CA | MD | Physician Assistant |
| 25MP00554200 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Metropolitan New Jersey | Past | Accepting new patients | |
| Planned Parenthood of Metropolitan New Jersey | Past | Accepting new patients | |
| Planned Parenthood of Metropolitan NJ | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mtwyman1169353@nychhc.direct-ci.com
- mya.twyman.p2@direct.bhplannedparenthood.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Family Planning Facility
- Passaic, NJ
- NPI 1346152055
-
- Ambulatory Family Planning Facility
- Newark, NJ
- NPI 1346213337
-
- Ambulatory Family Planning Facility
- East Orange, NJ
- NPI 1508839804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1750925343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MULBERRY ST FL 1",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023528",
"telephone_number": "973-622-3900",
"fax_number": "973-644-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 KOSSUTH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672410",
"telephone_number": "718-519-3333"
}
],
"practiceLocations": [
{
"address_1": "238 Mulberry St Fl 1",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071023528",
"country_code": "US",
"telephone_number": "973-622-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TWYMAN",
"first_name": "MYA",
"middle_name": "NICCOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00554200",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA63697",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "6369",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024328",
"primary": false
}
],
"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 May 11, 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.