Individual provider Active NPI

Livia Kohn, PA-C

  • Medical Physician Assistant
  • West Nyack, NY
National Provider Identifier
1861618845
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010556-1 Issued in NY
Practice address
2 Strawtown Rd
West Nyack, NY 10994-1847
Phone
(845) 727-1340
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 010556-1 NY Primary

Addresses

Primary practice location

2 Strawtown Rd
West Nyack, NY 10994-1847

Mailing address

25 Old Pomona Rd
Suffern, NY 10901-2008
Phone (845) 290-0434

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
I20080107000543 NY Practitioner - Physician Assistant 2961582788 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010556-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC Past Accepting new patients
Dev Shah MD PLLC PastSince Feb 16, 2020 Accepting new patients
Lich Faculty Practice Past Accepting new patients
Long Island College Hospital Past Accepting new patients

Organizations & group practices 7

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1861618845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012008",
            "telephone_number": "845-290-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STRAWTOWN RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941847",
            "telephone_number": "845-727-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "LIVIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.