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KRYSTAL NICOLE CALLAHAN PA
NPI 1134935448
Physician Assistant in Bay Shore, NY

Active since December 10, 2024
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krystal Nicole Callahan Pa NPPES

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

KRYSTAL NICOLE CALLAHAN PA (NPI 1134935448) is an individual physician assistant in Bay Shore, New York, licensed in New York (032456-01) and active in the NPI registry since December 2024. She maintains a secondary practice location in Port Jefferson Station.

NPPES Registry Identity

NPI1134935448
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRYSTAL NICOLE CALLAHANCredential: PA
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address17 Superior StPort Jefferson Station, NY 11776-4329 · (631) 624-0823
Phone(631) 968-3000
Sole ProprietorYes
Enumeration DateDecember 10, 2024
NPPES CertifiedNovember 16, 2024
✔ NPI 1134935448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 032456-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 E MAIN ST, Bay Shore, NY 11706
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Secondary Practice Location 1

Location 117 Superior StPort Jefferson Station, NY 11776-4329 · Phone (631) 624-0823

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.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 Krystal Callahan's NPI number?

The NPI number for Krystal Callahan is 1134935448. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Krystal Callahan located?

Krystal Callahan practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Krystal Callahan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Krystal Callahan was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.