Active NPI
Samanta P Erzen, PA
- Surgical Physician Assistant
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 021939
- Practice address
- 2 Crosfield Ave Ste 102
West Nyack, NY 10994 - Phone
- (845) 368-0286
- NPI assigned
- Mar 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | 021939 | NY | Primary |
Addresses
Primary practice location
2 Crosfield Ave Ste 102
West Nyack, NY 10994
Mailing address
2 Crosfield Ave Ste 102
West Nyack, NY 10994-2233
Phone (845) 368-0286
Other practice location 1
75 Crystal Run Rd Ste 205
Middletown, NY 10941-7003
Phone (845) 673-1040
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000
41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600
70 Dubois St
FL 2
Newburgh, NY 12550-4851
Phone (845) 561-4400
Hospital & facility affiliations
- White Plains Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021939 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oppenheim & Degen, Neurological Surgeons, LLP | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- serzen527508@direct.ahsys.org
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Newburgh, NY
- NPI 1316293954
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
-
- Neurological Surgery Physician
- West Nyack, NY
- NPI 1881245470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1699270264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE STE 102",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942233",
"telephone_number": "845-368-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CROSFIELD AVE STE 102",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "10994",
"telephone_number": "845-368-0286"
}
],
"practiceLocations": [
{
"address_1": "75 Crystal Run Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109417003",
"country_code": "US",
"telephone_number": "845-673-1040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERZEN",
"first_name": "SAMANTA",
"middle_name": "P",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "021939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.