Shannan Marie Maxey-Ricoy, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

009533 Issued in NY

Practice address

221 Broadway
Suite 207
Amityville, NY 11701-2780

Phone

(631) 598-0009

Fax

(631) 598-0099

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True North Medical at North Suffolk, PLLCGroup PAC ID 0345618088, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• True North Medical at North Suffolk PLLC

  • Neurology Physician
  • Port Jefferson Station, NY
  • NPI 1639804628
  Medicare reassignment Care Compare group
• Family Medical Practice of Long Island P.C.

  • Family Medicine Physician
  • Amityville, NY
  • NPI 1972678183
  NPD (past)
• Island Wide Medical Care PLLC

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1558049577
  NPD (past)
• Mendelsohn Medical, PLLC

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1437578127
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700828340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KENTUCKY ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611229",
            "telephone_number": "516-902-8389",
            "fax_number": "516-897-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 207",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012780",
            "telephone_number": "631-598-0009",
            "fax_number": "631-598-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY-RICOY",
        "first_name": "SHANNAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massapequa Center LLC
• Christine Mateo
• Mathew T. Chengot MD PC
• Robert Matsch
• Geraldine Maurice, M.S
• Maximum Motion Physical Therapy PLLC
• Dana Mazes
• Samantha McArdle
• Catherine J McCoy, MS APRN BC
• Brittany Denise McCullough, PHD

• Medical Physician Assistant in Amityville, NY
• Providers in Amityville, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.