DEIRDRE MARIE KIERNAN PHYSICIAN ASSISTANT
NPI 1063670941
Physician Assistant - Surgical in New York, NY

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, H 1206, NEW YORK, NY 10065(917) 693-2727 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deirdre Marie Kiernan Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIRDRE MARIE KIERNAN PHYSICIAN ASSISTANT (NPI 1063670941) is an individual surgical provider in New York, New York, licensed in New York (007299) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (1999).

NPPES Registry Identity

NPI1063670941
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDEIRDRE MARIE KIERNANCredential: PHYSICIAN ASSISTANT
Location Address1275 YORK AVE, H 1206New York, NY 10065-6007
Mailing Address1275 York Ave, H 1206New York, NY 10065-6007 · (917) 693-2727
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1999
Enumeration DateMay 28, 2008
Last NPPES UpdateJune 19, 2014
NPI 1063670941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 007299
1275 YORK AVE, New York, NY 10065

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deirdre Marie Kiernan Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860615218
PECOS Enrollment IDI20180214001295
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deirdre Kiernan's NPI number?

The NPI number for Deirdre Kiernan is 1063670941. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Deirdre Kiernan located?

Deirdre Kiernan practices at 1275 York Ave H 1206, New York, NY 10065. The listed phone number is (917) 693-2727.

What is Deirdre Kiernan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Deirdre Kiernan enrolled in Medicare?

Yes. Deirdre Kiernan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Deirdre Kiernan was last updated on June 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.