Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kwame Amin, PA

Individual provider Physician Assistant · NPI 1417292285

Kwame Amin, PA is a Physician Assistant in Astoria, New York. Qualified in 2012, 14 years ago. Practices with Stationmd Professional Corporation, a 62-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, New Jersey and New York.

Years since qualifying
14
Licensed in
CA, NJ, NY
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2510 30th Ave
Astoria, NY 11102-2448
Phone: (718) 932-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 Valley St Ste 203, Maplewood, NJ 07040-4300 — (908) 663-2929

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016224 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00519600 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 68151 (CA)

Record details

NPI number1417292285
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 5, 2012
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Stationmd Professional Corporation — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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