Individual provider Active NPI

Kristen Jadine Layne, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1932301116
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011830 Issued in NY
Practice address
101 Pennsylvania Avenue
Brooklyn, NY 11207
Phone
(718) 240-2000
Fax
(718) 240-2260
NPI assigned
Jun 1, 2007
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 011830 NY Primary

Addresses

Primary practice location

101 Pennsylvania Avenue
Brooklyn, NY 11207

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

233 Nostrand Avenue
Brooklyn, NY 11205
Phone (718) 858-5900

Other practice location 2

1000 Church Ave
Brooklyn, NY 11218-2710
Phone (718) 826-4000

Other identifiers 1

IdentifierTypeStateIssuer
011830OtherNYLICENSE

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
I20090817000543 NY Practitioner - Physician Assistant 4587718192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

1000 Church Ave
Brooklyn, NY 11218-2710
Phone (718) 826-4000

101 Pennsylvania Ave
Brooklyn, NY 11207-2428
Phone (718) 240-2000

233 Nostrand Ave
Brooklyn, NY 11205-4924
Phone (718) 826-5900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 23, 2017 Accepting new patients
Central Brooklyn Medical Group PC Past Accepting new patients

Locations

1000 Church Ave
Brooklyn, NY 11218
Phone (718) 826-4000

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

55 Water St
Fl 2
New York, NY 10041

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: klayne12356@direct.acpny.com

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1932301116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PENNSYLVANIA AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-240-2000",
            "fax_number": "718-240-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Nostrand Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11205",
            "country_code": "US",
            "telephone_number": "718-858-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112182710",
            "country_code": "US",
            "telephone_number": "718-826-4000",
            "fax_number": "646-680-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "KRISTEN",
        "middle_name": "JADINE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "011830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.