Michelle A. Renzi, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011114 Issued in NY

Practice address

30 S Central Ave Ste 201
Valley Stream, NY 11580-5437

Phone

(516) 791-8664

NPI assigned

Jun 7, 2007

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Dermatologic Associates, LLPGroup PAC ID 8022900869, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Atlantic Dermatologic Associates, LLP

  • Specialist
  • Lynbrook, NY
  • NPI 1447264387
  Medicare reassignment Care Compare group
• Atlantic Dermatologic Associates, LLP

  • Specialist
  • Bellmore, NY
  • NPI 1750557914
  NPD (past)
• Dennis Gross Dermatology LLC

  • Dermatology Physician
  • New York, NY
  • NPI 1023262904
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1174726228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S CENTRAL AVE STE 201",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805437",
            "telephone_number": "516-791-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S CENTRAL AVE STE 201",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805437",
            "telephone_number": "516-791-8664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E 37th St",
            "address_2": "Ground Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100163037",
            "country_code": "US",
            "telephone_number": "212-725-4555 x13",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENZI",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Remsen, CCC-SLP
• Henry Renelus
• Marie Nirva Renelus
• Arnold Renois, MS
• Natalie Rentas, LCSW
• Restart Psychological Services PC
• Retro Occupational Therapy PC
• Rex Medical PC
• Rex Specialty Pharmacy Corp
• Rex Specialty Pharmacy Corp

• Physician Assistant in Valley Stream, NY
• Providers in Valley Stream, 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 Jan 13, 2020; 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.