Individual provider Active NPI

Peter Scarpelli, PA

  • Physician Assistant
  • Speculator, NY
National Provider Identifier
1407959505
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003453-1 Issued in NY
Practice address
2862 Route 8
Speculator, NY 12164-0000
Phone
(518) 548-8155
Fax
(518) 548-4819
NPI assigned
Sep 6, 2006
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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 003453-1 NY Primary

Addresses

Primary practice location

2862 Route 8
Speculator, NY 12164-0000

Mailing address

PO Box 1250
Gloversville, NY 12078-0010
Phone (518) 773-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003453-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs Ventures PastSince Jul 24, 2022 Accepting new patients
Dr Richard J D'Amico DO PC PastSince Aug 1, 2017 Accepting new patients
In Health Family Medicine PC PastSince Sep 4, 2012 Accepting new patients
Beach Medical Services Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1407959505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120780010",
            "telephone_number": "518-773-5758",
            "fax_number": "518-773-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2862 ROUTE 8",
            "city": "SPECULATOR",
            "state": "NY",
            "postal_code": "121640000",
            "telephone_number": "518-548-8155",
            "fax_number": "518-548-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARPELLI",
        "first_name": "PETER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003453-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Speculator, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.