KRISTEN MARIE KOTAK PA-C
NPI 1942625702
Physician Assistant in Massapequa, NY
About Kristen Marie Kotak Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN MARIE KOTAK PA-C (NPI 1942625702) is an individual physician assistant in Massapequa, New York, licensed in New York (017420) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Kristen Marie Kotak 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kristen Kotak's NPI number?
The NPI number for Kristen Kotak is 1942625702. It was assigned to this individual provider in the NPPES registry on March 3, 2014.
Where is Kristen Kotak located?
Kristen Kotak practices at 193 Baltimore Ave, Massapequa, NY 11758. The listed phone number is (516) 395-8767.
What is Kristen Kotak's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kristen Kotak enrolled in Medicare?
Yes. Kristen Kotak 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.
Is Kristen Kotak affiliated with any hospitals?
According to CMS data, Kristen Kotak is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Kristen Kotak was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kristen Marie Kotak, PA-C · NPI 1942625702
Physician Assistant physician in Massapequa, New York. Individual provider, active in the CMS NPPES registry since March 3, 2014.
## Identity
- **NPI:** 1942625702 (Entity type: Individual)
- **Enumerated:** March 3, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 017420 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 193 BALTIMORE AVE, Massapequa, NY 11758-4229
- **Phone:** (516) 395-8767
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 3, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1942625702) · Data from the CMS NPPES public registry.