Elizabeth Scuderi, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021629-1 Issued in NY

Practice address

1555 Sunrise Hwy
Bay Shore, NY 11706-6027

Phone

(631) 968-0588

NPI assigned

Mar 15, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians

Excel Urgent Care of Nesconset PLLCGroup PAC ID 5092985986, 17 clinicians

Excel Urgent Care of East Northport PLLCGroup PAC ID 5294909826, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Urgent Care of East Northport, PLLC

  • Urgent Care Clinic/Center
  • East Northport, NY
  • NPI 1881978021
  Medicare reassignment Care Compare group
• Excel Urgent Care of Nesconset, PLLC

  • Urgent Care Clinic/Center
  • Nesconset, NY
  • NPI 1851679252
  Medicare reassignment Care Compare group
• Excel Urgent Care of Wantagh PLLC

  • Urgent Care Clinic/Center
  • Wantagh, NY
  • NPI 1184067936
  Medicare reassignment Care Compare group
• Jeff Silber MD PC

  • Physical Therapist
  • Massapequa, NY
  • NPI 1790907152
  Medicare reassignment
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Physician Assistant

  NPD (past)
• Paul B Bernstein DPM PC

  • Primary Podiatric Medicine Podiatrist
  • Massapequa, NY
  • NPI 1386731859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1023511185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "516-541-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUNRISE HWY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066027",
            "telephone_number": "631-968-0588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Eastchester",
            "state": "NY",
            "postal_code": "107092805",
            "country_code": "US",
            "telephone_number": "914-395-3691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Sunrise Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117585353",
            "country_code": "US",
            "telephone_number": "516-541-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCUDERI",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021629-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Scott
• Jonice E Scott, LCSW
• Sharon Y Scott, R.N.
• John Robert Scranton, DO
• Hillary R Scudder, PSYD
• David Sedaghat, MD
• Nicole Seeram, PHARMD
• Lorraine Evelyn Selanikio, LCSW
• Tashi Self, LCSW
• Claudia J Selgrad, DO

• Physician Assistant in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.