Mary Ann Pelzer, RPAC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0084431 Issued in NY

Practice address

325 Middle Country Road
Selden, NY 11784

Phone

(631) 732-9090

Fax

(631) 732-8235

NPI assigned

Oct 5, 2006

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, 1997

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

Credentials

Physician Assistant

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
  • Brooklyn, NY
  • NPI 1922274182
  NPD (past)
• Austin FP

  • Ambulatory Surgical Clinic/Center
  • Garden City, NY
  • NPI 1932353265
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295821155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY ROAD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "631-732-9090",
            "fax_number": "631-732-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY ROAD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "631-732-9090",
            "fax_number": "631-732-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZER",
        "first_name": "MARY ANN",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "0084431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Papalia, MSW
• Heather Parasino-Liebold
• David B Park, DDS MD
• Ruhi Pattel, PH. D
• Taylor Pelissier
• Nicole Marie Pena, LPN
• Patricia Ann Pendergast, LPN
• Debra Penna
• Pernice Chiropractic P.C.
• Frank Anthony Pernice Jr., DC

• Dermatology Physician in Selden, NY
• Providers in Selden, 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 Jul 8, 2007; 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.