Active NPI
Mona Avishay, PA
- Physician Assistant
- Hicksville, NY
National Provider Identifier
1831443183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 015609
- Practice address
- 358 S Oyster Bay Rd
Hicksville, NY 11801-3508 - Phone
- (516) 822-7546
- Fax
- (516) 937-7546
- NPI assigned
- Nov 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015609 | NY | Primary |
Addresses
Primary practice location
358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Mailing address
358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone (516) 822-7546
Other practice location 1
18 E 48th St
New York, NY 10017-1014
Phone (212) 750-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1831443183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 S OYSTER BAY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013508",
"telephone_number": "516-822-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 S OYSTER BAY RD",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013508",
"telephone_number": "516-822-7546",
"fax_number": "516-937-7546"
}
],
"practiceLocations": [
{
"address_1": "18 E 48th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100171014",
"country_code": "US",
"telephone_number": "212-750-1155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVISHAY",
"first_name": "MONA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.