Individual provider Active NPI

Christina Maureen Schubert, PA-C

  • Physician Assistant
  • Rye, NY
National Provider Identifier
1831590645
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017943 Issued in NY
Practice address
1 Theall Rd
Rye, NY 10580-1404
Phone
(914) 848-8800
Fax
(914) 848-8801
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017943 NY Primary

Addresses

Primary practice location

1 Theall Rd
Rye, NY 10580-1404

Mailing address

1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8800

Other practice location 1

77 Quaker Ridge Road
New Rochelle, NY 10804
Phone (914) 266-3104

Other identifiers 1

IdentifierTypeStateIssuer
04660720MedicaidNY

Other names 1

  • Christina Maureen Keegan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Rye

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150728003889 NY Practitioner - Physician Assistant 8527372192 Reassigns benefits to 4 organizations
I20200219002430 CT Practitioner - Physician Assistant 8527372192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8888

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 831-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017943NYMDPhysician Assistant

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Westchester Medical Group, P.C. CurrentSince Jul 15, 2019 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

3594 E Tremont Ave
Bronx, NY 10465
Phone (718) 597-5800

3030 Westchester Ave
Purchase, NY 10577
Phone (914) 682-6435

2700 Westchester Ave
Purchase, NY 10577
Phone (914) 607-5730

1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

1915 Central Park Ave
#25
Yonkers, NY 10710
Phone (914) 682-8485

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: christina.schubert.1@21260.direct.athenahealth.com
  • Direct secure messaging: cschubert@hiemail.healtheconnections.org
  • Direct secure messaging: christina.schubert@ghuc.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1831590645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 THEALL RD",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801404",
            "telephone_number": "914-848-8800",
            "fax_number": "914-848-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THEALL RD",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105801404",
            "telephone_number": "914-848-8800",
            "fax_number": "914-848-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Quaker Ridge Road",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "10804",
            "country_code": "US",
            "telephone_number": "914-266-3104",
            "fax_number": "914-279-0817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUBERT",
        "first_name": "CHRISTINA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04660720",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rye",
            "affiliation": "N",
            "address_1": "1 Theall Rd",
            "city": "Rye",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105801404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KEEGAN",
            "middle_name": "MAUREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.