Kelly Atwell Greenwood

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

112 Madison Ave
New Hyde Park, NY 11040-5229

Phone

(516) 343-2668

NPI assigned

Aug 29, 2024

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Partners in Critical Care LLPGroup PAC ID 9234239823, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
• Plainview Hospital Hospital, Plainview, NY, CCN 330331
• Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Partners in Critical Care, LLP

  • Physician Assistant
  • Islip, NY
  • NPI 1053486670
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glen Cove Hospital

  • General Acute Care Hospital
  • Glen Cove, NY
  • NPI 1295743060
  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• Plainview Hospital

  • General Acute Care Hospital
  • Plainview, NY
  • NPI 1083621130
  Care Compare affiliation
• St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1982663423
  Care Compare affiliation
• Wsnchs North, Inc.

  dba St. Joseph Hospital

  • General Acute Care Hospital
  • Bethpage, NY
  • NPI 1013998426
  Care Compare affiliation

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1881428969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SMITHTOWN POLK BLVD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MADISON AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405229",
            "telephone_number": "516-343-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWELL GREENWOOD",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Atala, PSY.D.
• Atc Healthcare
• Ramon Melo Atienza, P.T.
• Gemma Mary Atlagh, RN
• Mark Atlas, MD
• Sirena Erin Au
• Louis J Auguste, M.D.
• Kevin Augustine
• Thi Ri Htoo Aung
• Gavriel Ausubel

• Physician Assistant in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.