Individual provider Active NPI

Megan Amber Rozell, PA

  • Physician Assistant
  • Newcomb, NY
National Provider Identifier
1679093439
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020905 Issued in NY
Practice address
4 Santanoni Dr
Newcomb, NY 12852-1913
Phone
(518) 582-2991
NPI assigned
Jun 22, 2017
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 020905 NY Primary

Addresses

Primary practice location

4 Santanoni Dr
Newcomb, NY 12852-1913

Mailing address

4 Santanoni Dr
Newcomb, NY 12852-1913
Phone (518) 582-2991

Other practice location 1

8561 Newcomb Rd
Long Lake, NY 12847-7785
Phone (518) 624-2301

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
I20170823000102 NY Practitioner - Physician Assistant 9133491384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Santanoni Dr
Newcomb, NY 12852-1913

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Russell E Rider, MD PastSince Jun 12, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2469/brand/4/csg/23/fhir/r4
  • Direct secure messaging: megan.rozell.1@2469.direct.athenahealth.com
  • Direct secure messaging: megan.rozell.2@2469.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1679093439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANTANONI DR",
            "city": "NEWCOMB",
            "state": "NY",
            "postal_code": "128521913",
            "telephone_number": "518-582-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SANTANONI DR",
            "city": "NEWCOMB",
            "state": "NY",
            "postal_code": "128521913",
            "telephone_number": "518-582-2991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8561 Newcomb Rd",
            "address_purpose": "LOCATION",
            "city": "Long Lake",
            "state": "NY",
            "postal_code": "128477785",
            "country_code": "US",
            "telephone_number": "518-624-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "MEGAN",
        "middle_name": "AMBER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcomb, NY

Sources for this page

Verify at the official NPI Registry.