Individual provider Active NPI

Lital Decotiis, P.A.

  • Physician Assistant
  • New City, NY
National Provider Identifier
1538879754
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
500 New Hempstead Rd, Suite a
New City, NY 10956
Phone
(845) 362-3200
Fax
(845) 290-8180
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 Primary

Addresses

Primary practice location

500 New Hempstead Rd, Suite a
New City, NY 10956

Mailing address

500 New Hempstead Rd, Suite a
New City, NY 10956
Phone (845) 362-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221220001535 LA Practitioner - Physician Assistant 5193194868 Reassigns benefits to 1 organization
I20251224001352 NY Practitioner - Physician Assistant 5193194868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in New Orleans, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

100 W Harrison Ave
Suite 101
New Orleans, LA 70124-1357
Phone (504) 325-2929

1401 Foucher St
New Orleans, LA 70115-3515
Phone (504) 897-7011

2820 Canal St
New Orleans, LA 70119-6302
Phone (504) 821-8158

5500 Broadway
Suite a
Bronx, NY 10463-5238
Phone (718) 543-3635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034444NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC CurrentSince Jan 19, 2026 Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 Accepting new patients
Gastrointestinal Associates of Rockland, PC PastSince Jul 9, 1996 Accepting new patients

Locations

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

5500 Broadway
Ste A
Bronx, NY 10463
Phone (718) 543-3635

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1538879754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NEW HEMPSTEAD RD, SUITE A",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-362-3200",
            "fax_number": "845-290-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NEW HEMPSTEAD RD, SUITE A",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-362-3200",
            "fax_number": "845-290-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTIIS",
        "first_name": "LITAL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.