Individual provider Active NPI

Tricia Harvey, P.A.

  • Medical Physician Assistant
  • Monticello, NY
National Provider Identifier
1861416810
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010513 Issued in NY
Practice address
38 Concord Rd
Monticello, NY 12701-3210
Phone
(845) 333-6500
Fax
(845) 333-6501
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001602 CT
Medical Physician Assistant 363AM0700X 010513 NY Primary

Addresses

Primary practice location

38 Concord Rd
Monticello, NY 12701-3210

Mailing address

38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500

Other practice location 1

5 Perryridge Rd
Emergency Department
Greenwich, CT 06830-4608
Phone (203) 863-3637

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
I20050907000208 NY Practitioner - Physician Assistant 9032159934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

1200 Brown St
Peekskill, NY 10566-2913

3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038

75 Washington St
Poughkeepsie, NY 12601-2303
Phone (845) 790-7990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001602CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. CurrentSince Mar 11, 2019 Accepting new patients
Our Lady of Mercy Medical Center Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

6 Henry St
Beacon, NY 12508
Phone (845) 831-0400

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

75 Washington St
Poughkeepsie, NY 12601
Phone (845) 790-7990

Interoperability endpoints

  • Direct secure messaging: tricia.harvey@hrh.eclinicaldirectplus.com

Organizations & group practices 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1861416810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CONCORD RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013210",
            "telephone_number": "845-333-6500",
            "fax_number": "845-333-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CONCORD RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013210",
            "telephone_number": "845-333-6500",
            "fax_number": "845-333-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Perryridge Rd",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068304608",
            "country_code": "US",
            "telephone_number": "203-863-3637",
            "fax_number": "203-863-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "TRICIA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001602",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.