Individual provider Active NPI

Joseph Kaempf, PA-C

  • Medical Physician Assistant
  • East Patchogue, NY
National Provider Identifier
1770079444
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
285 Sills Rd BLDG 5-6
East Patchogue, NY 11772-4869
Phone
(631) 438-0777
Fax
(631) 438-0770
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

285 Sills Rd BLDG 5-6
East Patchogue, NY 11772-4869

Mailing address

610 Conklin St
Farmingdale, NY 11735-3702
Phone (631) 807-1099

Other practice location 1

610 Conklin St
Farmingdale, NY 11735-3702
Phone (631) 807-1099

Other practice location 2

21 Eastport Manor Rd
Eastport, NY 11941-1410
Phone (631) 325-2255

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
I20231129001128 NY Order and Referring Only - Physician Assistant 3072977883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical PLLC PastSince Jan 24, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8524/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rtmedical.josephkaempf@153907.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1770079444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353702",
            "telephone_number": "631-807-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 5-6",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-438-0777",
            "fax_number": "631-438-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Conklin St",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117353702",
            "country_code": "US",
            "telephone_number": "631-807-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Eastport Manor Rd",
            "address_purpose": "LOCATION",
            "city": "Eastport",
            "state": "NY",
            "postal_code": "119411410",
            "country_code": "US",
            "telephone_number": "631-325-2255",
            "fax_number": "631-325-8562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAEMPF",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.