Active NPI
Amy Elisabeth Pearsall, PA-C
- Physician Assistant
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (631) 376-4444
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
73 Bayside Ave
Amityville, NY 11701-3652
Phone (516) 509-5071
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1757 Sunrise Hwy
Bay Shore, NY 11706-6014
1850 Sunrise Hwy
Bay Shore, NY 11706-6012
Phone (631) 581-5900
1930 Deer Park Ave
Deer Park, NY 11729-3328
Phone (631) 254-5900
336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627
5600 Sunrise Hwy
Sayville, NY 11782-1017
Phone (631) 563-7828
656 Wellwood Ave
N
Lindenhurst, NY 11757-1695
Phone (631) 225-4227
901 Sunrise Hwy
Copiague, NY 11726-1300
Phone (631) 841-5900
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side PLLC | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients |
Locations
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Interoperability endpoints
- amy.pearsall.1@2983.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Emergency Medicine Physician
- Uniondale, NY
- NPI 1588098172
-
- Emergency Medicine Physician
- West Islip, NY
- NPI 1104978014
-
- Specialist
- Bethpage, NY
- NPI 1881799153
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Critical Care Medicine (Internal Medicine) Physician
- West Islip, NY
- NPI 1548501620
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1235648999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 BAYSIDE AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117013652",
"telephone_number": "516-509-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MONTAUK HWY",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954927",
"telephone_number": "631-376-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSALL",
"first_name": "AMY",
"middle_name": "ELISABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.