Individual provider Active NPI

Vinita Hom, RPA-C

  • Medical Physician Assistant
  • Flushing, NY
National Provider Identifier
1962726265
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012315 Issued in NY
Practice address
13620 38TH Ave
Suite #5H
Flushing, NY 11354-4233
Phone
(718) 661-9554
Fax
(718) 661-9556
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012315 NY Primary

Addresses

Primary practice location

13620 38TH Ave
Suite #5H
Flushing, NY 11354-4233

Mailing address

136-20 38TH Avenue
Suite #5H
Flushing, NY 11354
Phone (718) 661-9554

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
I20160408001569 NY Practitioner - Physician Assistant 5698073591 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012315NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2022 Accepting new patients
Jian Cui, Dermatology, P.C. PastSince Apr 8, 1998 Accepting new patients
New York University Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

13620 38th Ave
Ste 5H
Flushing, NY 11354
Phone (718) 661-1955

55 Hudson Yards
Fl 2
New York, NY 10001

325 W 15th St
Ste C
New York, NY 10011

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

10 Union Sq E
#4J
New York, NY 10003
Phone (212) 844-8366

17 E 102nd St
Fl 4
New York, NY 10029
Phone (212) 659-8554

234 E 85th St
Fl 5
New York, NY 10028
Phone 2127313311 ext. 2

638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672

533 W 57th St
#6
New York, NY 10019

10 Union Sq E
Ste 4J
New York, NY 10003
Phone (212) 844-6949

150 E 42nd St
Fl 2E678
New York, NY 10017

638 Columbus Ave
Fl 1
New York, NY 10024

620 Columbus Ave
Ste 2
New York, NY 10024
Phone (212) 600-9411

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1468 Madison Ave
Fl 4
New York, NY 10029
Phone (212) 241-4901

Networks

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

Organizations & group practices 6

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1962726265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVENUE",
            "address_2": "SUITE #5H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-661-9554",
            "fax_number": "718-661-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE",
            "address_2": "SUITE #5H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544233",
            "telephone_number": "718-661-9554",
            "fax_number": "718-661-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "VINITA",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.