Individual provider Active NPI

Gita Makkar, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New City, NY
National Provider Identifier
1922338631
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013724 Issued in NY
Practice address
301 N Main St Ste 3
New City, NY 10956-4021
Phone
(845) 499-2017
Fax
(845) 499-2018
NPI assigned
Dec 30, 2009
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 013724 NY Primary

Addresses

Primary practice location

301 N Main St Ste 3
New City, NY 10956-4021

Mailing address

16203 84TH Dr
Jamaica, NY 11432-1703

Other names 1

  • Gita Rani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240320001744 NY Practitioner - Physician Assistant 3678910114 Reassigns benefits to 1 organization
I20241002002995 NJ Practitioner - Physician Assistant 3678910114 Reassigns benefits to 1 organization

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
Jeffrey Rapaport,MD,PAGroup PAC ID 2062510977, 5 clinicians

Practice addresses (Care Compare)

255 State RT
3 Suite 206
Secaucus, NJ 07094-3857
Phone (201) 227-1555

333 Sylvan Ave
Englewood Cliffs, NJ 07632-2732
Phone (201) 227-1555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013724NYMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: gir9021@direct.nyp.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1922338631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16203 84TH DR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST STE 3",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564021",
            "telephone_number": "845-499-2017",
            "fax_number": "845-499-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKAR",
        "first_name": "GITA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GITA",
            "last_name": "RANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.