NPIMap

Individual provider Active NPI

Andrew B Kirk, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Yonkers, NY
National Provider Identifier
1891924064
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
013305 Issued in NY
Practice address
970 North Broadway
Suite 204
Yonkers, NY 10701-1310
Phone
(914) 476-4343
Fax
(914) 963-6426
NPI assigned
Jul 9, 2009
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 013305 NY Primary

Addresses

Primary practice location

970 North Broadway
Suite 204
Yonkers, NY 10701-1310

Mailing address

970 North Broadway
Suite 204
Yonkers, NY 10701-1310
Phone (914) 476-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090925000014 NY Practitioner - Physician Assistant 6305992868 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Medical Practice PCGroup PAC ID 5597901868, 28 clinicians

Practice addresses (Care Compare)

107 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7110

115 S Broadway
Yonkers Gardens Ctr Nursing and Rehab
Yonkers, NY 10701-4006
Phone (914) 378-7358

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7584

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 964-4444

970 N Broadway
Suite 204
Yonkers, NY 10701-1310
Phone (914) 476-4343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013305NYMDPsychologist
002275CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital & Medical Center CurrentSince Mar 6, 2023 Accepting new patients
St Josephs Hospital Yonkers CurrentSince Mar 6, 2023 Accepting new patients

Locations

107 S Broadway
Yonkers, NY 10701
Phone (914) 378-7110

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1891924064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 NORTH BROADWAY",
            "address_2": "SUITE 204",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011310",
            "telephone_number": "914-476-4343",
            "fax_number": "914-963-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NORTH BROADWAY",
            "address_2": "SUITE 204",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011310",
            "telephone_number": "914-476-4343",
            "fax_number": "914-963-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ANDREW",
        "middle_name": "B",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "013305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.