Individual provider Active NPI

Michael Simon Littner, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1184071649
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020222-1 Issued in NY
Practice address
60 W 57TH St
Apt. 8H
New York, NY 10019-3953
Phone
(191) 772-1665
NPI assigned
May 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020222-1 NY Primary

Addresses

Primary practice location

60 W 57TH St
Apt. 8H
New York, NY 10019-3953

Mailing address

60 W 57TH St
Apt. 8H
New York, NY 10019-3953
Phone (191) 772-1665

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240405003054 NY Practitioner - Physician Assistant 6002254240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Priyadarshan Bajpayi MD PCGroup PAC ID 6608118179, 13 clinicians

Practice addresses (Care Compare)

5550 Merrick Rd
Massapequa, NY 11758-6238
Phone (631) 673-3233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020222NYMDOccupational Therapist
020222-1NYMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1184071649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W 57TH ST",
            "address_2": "APT. 8H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193953",
            "telephone_number": "191-772-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W 57TH ST",
            "address_2": "APT. 8H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193953",
            "telephone_number": "191-772-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTNER",
        "first_name": "MICHAEL",
        "middle_name": "SIMON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-15",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020222-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.