ALEXANDRA FAITH TOM PA-C - NPI 1154210722 - Physician Assistant in Garden City, NY

Q: What is Alexandra Tom's NPI number?

The NPI number for Alexandra Tom is 1154210722. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Alexandra Tom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandra Tom was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alexandra Faith Tom Pa-c NPPES

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

ALEXANDRA FAITH TOM PA-C (NPI 1154210722) is an individual physician assistant in Garden City, New York and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154210722

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXANDRA FAITH TOMCredential: PA-C

Location Address1101 STEWART AVE STE 100Garden City, NY 11530-4833

Mailing Address1101 Stewart Ave Ste 100Garden City, NY 11530-4833

Phone(516) 536-2800

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 30, 2025

NPPES CertifiedJune 30, 2025

✔ NPI 1154210722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1101 STEWART AVE STE 100, Garden City, NY 11530

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Alexandra Faith Tom Pa-c 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 ID8426553124

PECOS Enrollment IDI20250924001926

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

AMIRA LISLE DPT

Physical Therapist