Active NPI
Michael A Troyan, RPA-C
- Physician Assistant
- Riverhead, NY
National Provider Identifier
1477683852
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Dec 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010977
- Practice address
- 1228 E Main St
Riverhead, NY 11901-2675 - Phone
- (631) 603-3400
- Fax
- (631) 603-3401
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- 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 | 010977 | NY | Primary |
Addresses
Primary practice location
1228 E Main St
Riverhead, NY 11901-2675
Mailing address
9 Kerry CT
Riverhead, NY 11901-5251
Phone (631) 708-6595
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010977 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East End Urgent & Primary Care Medicine PLLC | Past | Accepting new patients |
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.
-
- Adult Medicine Physician
- Riverhead, NY
- NPI 1952713281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1477683852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 KERRY CT",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119015251",
"telephone_number": "631-708-6595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012675",
"telephone_number": "631-603-3400",
"fax_number": "631-603-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROYAN",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
- Michael Trocchia, PA
- Marcela Trocha, MD, MSC
- Thomas A Troiano, M.D.
- Bette Jayne Trojanowski
- Trope Medical Health PLLC
- True North Medical Group PC (Orlin & Cohen Medical Specialists Group)
- True North VI DC LLC (Peconic Bay Dialysis)
- Catherine Elizabeth Tumminello, LCSW
- Jennifer Patricia Turano, LMSW
- Twin Forks Hematology Oncology PC7
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.