Amy Lynn Spizuoco, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

242374 Issued in NY

Practice address

54 W 21St St RM 307
New York, NY 10010-7373

Phone

(646) 397-6377

NPI assigned

May 11, 2010

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

New York College of Osteo Medicine of New York Institute of Technology, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Dermatology PLLCGroup PAC ID 2961834684, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• True Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1760041297
  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen Vine MD PC

  • Dermatology Physician
  • New York, NY
  • NPI 1942612866
  Medicare reassignment NPD
• Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
  • NPI 1437148996
  Medicare reassignment
• Derm Specs of PA PLLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1528823507
  NPD
• RM Dermatology, PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1225918220
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1285952515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W 21ST ST RM 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107373",
            "telephone_number": "646-397-6377",
            "fax_number": "772-783-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 21ST ST RM 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107373",
            "telephone_number": "646-397-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W 27th St Ste 1001",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10001",
            "country_code": "US",
            "telephone_number": "646-397-6377",
            "fax_number": "772-783-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIZUOCO",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "242374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Spivak, D.O.
• Jeffrey Michael Spivak, MD
• William Spivak, M.D.
• Scott J. Spivey Provencio, MD, MPHIL
• Philip B Spivey, PHD
• Stacy Anne Spizuoco, D.D.S.
• Megan Splain
• Emily Marie Splichal, DPM
• Veronika Splichalova, LMT
• Jeffrey Spodak, PSY.D.

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.