Individual provider Active NPI

Isabel Hepp

  • Physician Assistant
  • Long Island City, NY
National Provider Identifier
1831965227
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
031404 Issued in NY
Practice address
1027 46TH Ave
Long Island City, NY 11101-5245
Phone
(212) 385-3700
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 031404 NY Primary

Addresses

Primary practice location

1027 46TH Ave
Long Island City, NY 11101-5245

Mailing address

242 Greengrove Ave
Uniondale, NY 11553-1517
Phone (561) 376-6749

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
I20240723002328 NY Practitioner - Physician Assistant 6608312996 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031404NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Out East Medical CurrentSince Dec 3, 2023 Accepting new patients
Forest Hills Dermatology Group PLLC CurrentSince Feb 10, 2026 Accepting new patients
Derm Specs of PA PLLC CurrentSince Feb 25, 2024 Accepting new patients
Bobby Buka, M.D., P.C. CurrentSince Feb 4, 2024 Accepting new patients

Locations

10740 Queens Blvd
Ste 204
Forest Hills, NY 11375
Phone (718) 268-8845

1027 46th Ave
Fl 1
Long Island City, NY 11101

1027 46th Ave
Long Island City, NY 11101
Phone (718) 964-8589

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1831965227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREENGROVE AVE",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531517",
            "telephone_number": "561-376-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 46TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015245",
            "telephone_number": "212-385-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPP",
        "first_name": "ISABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.