Individual provider Active NPI

Pamela J Keefer, P.A.

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1952571002
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
010799 Issued in NY
Practice address
19 Beekman St
New York, NY 10038-1522
Phone
(212) 513-7711
Fax
(212) 513-7723
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 010799 NY Primary

Addresses

Primary practice location

19 Beekman St
New York, NY 10038-1522

Mailing address

PO Box 9685
Uniondale, NY 11555-9685
Phone (212) 513-7711

Other identifiers 1

IdentifierTypeStateIssuer
010799OtherNYNYS MEDICAL LICENSE

Other names 1

  • Pamela J Keefer Other name

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
I20240515000581 NY Practitioner - Physician Assistant 8820439383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10202 Liberty Ave
Ozone Park, NY 11417-1727
Phone (718) 571-9265

13030 Farmers Blvd
Jamaica, NY 11434-4122
Phone (646) 518-8263

13657 Roosevelt Ave
Flushing, NY 11354-5509
Phone (929) 476-0463

16221 Jamaica Ave
Jamaica, NY 11432-4909
Phone (718) 571-9116

193 W 237TH St
Bronx, NY 10463-4141
Phone (718) 303-0479

22405 Jamaica Ave
Queens Village, NY 11428-2019
Phone (718) 571-9395

2248 31St St
Astoria, NY 11105-2714
Phone (718) 571-9192

2518 Queens PLZ S
Long Island City, NY 11101-4101
Phone (646) 647-1261

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

32 Westchester SQ
Bronx, NY 10461-3514
Phone (646) 661-6668

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3726 Junction Blvd
Corona, NY 11368-1741
Phone (718) 571-9310

6118 188TH St
Fresh Meadows, NY 11365-2713
Phone (718) 489-5003

7049 Austin St
Forest Hills, NY 11375-1033
Phone (718) 280-1245

7425 Grand Ave
Elmhurst, NY 11373-4126
Phone (718) 803-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Apr 2, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Apr 2, 2024 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

Interoperability endpoints

  • Direct secure messaging: pamela.keefer.1@2983.direct.athenahealth.com

Organizations & group practices 3

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1952571002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9685",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115559685",
            "telephone_number": "212-513-7711",
            "fax_number": "212-513-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BEEKMAN ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381522",
            "telephone_number": "212-513-7711",
            "fax_number": "212-513-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE",
            "identifier": "010799",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KEEFER",
            "middle_name": "J",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.