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KATHLEEN ALYSE KOENDERMAN PA
NPI 1598011926
Physician Assistant in New York, NY

Active since August 03, 2012PECOS Enrolled
627 W 165TH ST, NEW YORK, NY 10032(516) 659-4505 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kathleen Alyse Koenderman Pa NPPES

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

KATHLEEN ALYSE KOENDERMAN PA (NPI 1598011926) is an individual physician assistant in New York, New York, licensed in New York (015753-1) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598011926
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN ALYSE KOENDERMANCredential: PA
Location Address627 W 165TH STNew York, NY 10032-3790
Mailing Address1781 Willis AveMerrick, NY 11566-2921 · (516) 659-4505
Phone(516) 659-4505
Sole ProprietorNo
Enumeration DateAugust 3, 2012
Last NPPES UpdateAugust 28, 2012
✔ NPI 1598011926 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 · 015753-1
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.
627 W 165TH ST, New York, NY 10032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Alyse Koenderman Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

COLUMBIA NEW YORK PRESBYTERIAN
General Acute Care Hospital (Women)
627 W 165TH ST, SUITE 515E
NEW YORK, NY 10032
New York County (212) 305-0230
COLUMBIA PRESBYTERIAN HOSPITAL
General Acute Care Hospital
627 W 165TH ST, SUITE 515
NEW YORK, NY 10032
New York County (212) 305-0230
TIFFANY TRAN
Physician Assistant (Medical)
627 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-0160
KATE GRIBETZ PA-C
Physician Assistant
627 W 165TH ST, SUITE 515
NEW YORK, NY 10032
New York County (212) 305-5138
MISS NADIA EMERICK-KRALOVIC DEPAOLA M.S.P.A.
Physician Assistant
627 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-2300
STEPHANIE NAPPI RPA-C
Physician Assistant (Medical)
627 W 165TH ST
NEW YORK, NY 10032
New York County (212) 305-2300
GUADALUPE MENDOZA
Physician Assistant (Medical)
627 W 165TH ST, SUITE 515
NEW YORK, NY 10032
New York County (212) 305-9379

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 Kathleen Koenderman's NPI number?

The NPI number for Kathleen Koenderman is 1598011926. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Kathleen Koenderman located?

Kathleen Koenderman practices at 627 W 165th St, New York, NY 10032. The listed phone number is (516) 659-4505.

What is Kathleen Koenderman's specialty?

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

Is Kathleen Koenderman enrolled in Medicare?

Yes. Kathleen Koenderman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Koenderman was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.