Alyssa Danielle Kerr, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

353 Veterans Memorial Hwy Ste 101
Commack, NY 11725-4200

Phone

(631) 543-4888

NPI assigned

Jan 9, 2023

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: alyssa.kerr.1@7628.direct.athenahealth.com

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.

• Manhattan Dermatology and Cosmetics PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1639495732
  Medicare reassignment
• New York Dermatology & Mohs Surgery Group, PLLC

  • Dermatology Physician
  • Commack, NY
  • NPI 1851555122
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1801500418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SARINA DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251805",
            "telephone_number": "631-807-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 VETERANS MEMORIAL HWY STE 101",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254200",
            "telephone_number": "631-543-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "ALYSSA",
        "middle_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Keltos, LMSW
• Bethany H Kennedy, ANP, MSN, RN
• Gregory Wayne Kennedy, DDS
• Regina Kent, OTR/L
• Shannon L Kerekes, MS OTR/L
• David Lawrence Kessler, PHD
• Patricia Kettell, M.S.
• Kevin J Barbier DC PC
• Robert E. Kifer, PH.D.
• Eileen Kilgus-Reid, MS, RN, FNP-BC

• Physician Assistant in Commack, NY
• Providers in Commack, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.