Active NPI
Ashley Lauren Spiteri
- Physician Assistant
- Massapequa Park, NY
National Provider Identifier
1528340940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 150171
- Practice address
- 240 Grand Blvd
Massapequa Park, NY 11762-2140 - Phone
- (516) 663-3853
- NPI assigned
- Sep 12, 2011
- 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 | 150171 | NY | Primary |
Addresses
Primary practice location
240 Grand Blvd
Massapequa Park, NY 11762-2140
Mailing address
240 Grand Blvd
Massapequa Park, NY 11762-2140
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | astackpole307511@nyumc.direct-ci.com | Other | NYU Langone |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015017 | NY | MD | Mental Health Counselor |
| 150171 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Winthrop Community Medical Affiliates, P.C. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
700 Hicksville Rd
Ste 204
Bethpage, NY 11714
Phone (516) 576-5812
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
222 Station Plz N
Ste 611
Mineola, NY 11501
Phone (516) 663-2532
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- astackpole307511@nyumc.direct-ci.com
Organizations & group practices 3
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.
-
- Surgery Physician
- Mineola, NY
- NPI 1649651498
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1528340940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 GRAND BLVD",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 GRAND BLVD",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622140",
"telephone_number": "516-663-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITERI",
"first_name": "ASHLEY",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "150171",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astackpole307511@nyumc.direct-ci.com",
"affiliation": "Y",
"affiliationName": "NYU Langone",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"address_1": "240 Grand Blvd",
"city": "Massapequa Park",
"state": "NY",
"country_code": "US",
"postal_code": "117622140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.