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MRS. ADIJA MEMBOUP PA
NPI 1942365986
Physician Assistant in Danbury, CT

Active since December 27, 2006PECOS Enrolled
24 HOSPITAL AVE, DANBURY, CT 06810(917) 873-5185 Get Directions Write a Review

NPPES record last updated: May 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Adija Memboup Pa NPPES

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

MRS. ADIJA MEMBOUP PA (NPI 1942365986) is an individual physician assistant in Danbury, Connecticut, licensed in New York (008489) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1942365986
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ADIJA MEMBOUPCredential: PA
Location Address24 HOSPITAL AVEDanbury, CT 06810-6077
Mailing Address24 Hospital AveDanbury, CT 06810-6077 · (917) 873-5185
Phone(917) 873-5185
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateMay 7, 2022
NPPES CertifiedMay 6, 2022
✔ NPI 1942365986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 008489✔ Licensed in CT · 5545
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.
24 HOSPITAL AVE, Danbury, CT 06810
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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2490 · Phone (718) 920-9838

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Adija Memboup 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 06810 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 20

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

DR. ANDREW CALIGIURI D.O.
Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7000
GARRETT JAFFE
Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7118
DR. SUHANKI RAJAPAKSA M.D
Student in an Organized Health Care Education/Training Program
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-4973
MR. PETER X ZHANG PA-C
Physician Assistant (Surgical)
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7000
CHRISTIE ALLEN
Nurse Practitioner (Acute Care)
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7000
DANBURY OFFICE OF PHYSICIAN SERVICES, P.C.
Anesthesiology
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 797-7442
REBECCA E. PIKE M.D.
Internal Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7000
JACOB BARTEL LOTSTEIN M.D.
Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-7100

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 Adija Memboup's NPI number?

The NPI number for Adija Memboup is 1942365986. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Adija Memboup located?

Adija Memboup practices at 24 Hospital Ave, Danbury, CT 06810. The listed phone number is (917) 873-5185.

What is Adija Memboup's specialty?

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

Is Adija Memboup enrolled in Medicare?

Yes. Adija Memboup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adija Memboup was last updated on May 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.