Mazhar Baker, PA-C
Individual provider Active NPI Physician Assistant · Glen Head, NY
NPI 1962029272 · NPPES record last updated Jul 2, 2020
Key facts
- NPI
- 1962029272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 101 Northern Blvd
Glen Head, NY 11545 - Phone
- (516) 318-3185
- NPI assigned
- Jul 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Partners in Critical Care LLP
Practice addresses (Care Compare)
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (516) 625-1014
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (516) 625-1014
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 625-1014
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000
50 Route 25a
Smithtown, NY 11787-1348
Phone (516) 625-1014
888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 625-1014
Hospital & facility affiliations
- St Catherine of Siena Hospital
- Chsli St Joseph Hospital
- St Charles Hospital
- Northwell Hospital Glen Cove
- North Shore University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201106000649 | NY | Practitioner - Physician Assistant | 8022428838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- mbaker69650@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
101 Northern Blvd
Glen Head, NY 11545
Mailing address
1804 Stuyvesant Ave
East Meadow, NY 11554-3945
Phone (516) 318-3185
Other providers in Glen Head, NY
- Ayesha Assad Medical PLLC
- Mikhail Azernov
- Shameila Bacchus
- Beth P. Bailey
- Lauren Renee Baker
- Meghan Anne Barker
- Barrtmenschddspc
- Christine Baudin
- Allison Berest
- Marc Aaron Berlin
All providers in Glen Head, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.