Individual provider Active NPI

Robert Passamenti, RPA-C

  • Medical Physician Assistant
  • West Islip, NY
National Provider Identifier
1629378906
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014444 Issued in NY
Practice address
108 Higbie LN
West Islip, NY 11795-3923
Phone
(631) 587-0940
Fax
(631) 587-2092
NPI assigned
Nov 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014444 NY Primary

Addresses

Primary practice location

108 Higbie LN
West Islip, NY 11795-3923

Mailing address

108 Higbie LN
West Islip, NY 11795-3923
Phone (631) 587-0940

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822000145 NY Practitioner - Physician Assistant 1557549326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Li Urgent Care PCGroup PAC ID 8426273210, 15 clinicians

Practice addresses (Care Compare)

383 N Sunrise Service Rd
Suite 8
Manorville, NY 11949-9603
Phone (631) 716-5410

403 Little E Neck Rd
West Babylon, NY 11704-6518
Phone (631) 716-5463

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Access Medical Diagnostics PLLC Past Accepting new patients
Long Island Family Medical PLLC PastSince Mar 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.passamenti.1@8960.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1629378906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953923",
            "telephone_number": "631-587-0940",
            "fax_number": "631-587-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953923",
            "telephone_number": "631-587-0940",
            "fax_number": "631-587-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSAMENTI",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.