Angenie Seelal, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

022923 Issued in NY

Practice address

616 Broadway
Massapequa, NY 11758-5024

Phone

(516) 636-5021

Fax

(516) 636-5023

NPI assigned

Oct 15, 2018

Last updated

Aug 26, 2023By the provider in NPPES

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hollis Ak LLCGroup PAC ID 6901276260, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hollis Ak LLC

  dba HealthMed Diagnostic & Treatment Center

  • Multi-Specialty Clinic/Center
  • Jamaica, NY
  • NPI 1295454650
  Medicare reassignment Care Compare group
• Advanced Dermatology PC

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1134201460
  Medicare reassignment
• Island Wide Medical Care PLLC

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1558049577
  Medicare reassignment
• Eastern Physical Medicine and Rehabilitation PC

  • Supports Brokerage Agency
  • Kings Park, NY
  • NPI 1780819383
  NPD (past)
• Howard D. Solomon, DO, PC

  • Procedural Dermatology Physician
  • Forest Hills, NY
  • NPI 1598054520
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1770059081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585024",
            "telephone_number": "516-636-5021",
            "fax_number": "631-983-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585024",
            "telephone_number": "516-636-5021",
            "fax_number": "516-636-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELAL",
        "first_name": "ANGENIE",
        "name_prefix": "Ms.",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen D Schwartz-Borden, LCSW
• Simi Schwartz, LCSW
• William Joseph Schwarz, M.P.T.
• Anna Scortichini, OTR/L
• Rebecca Scotto
• Bhavna Sehgal, M.D.
• Amanda Seidenberg, MS, OTR/L
• Select Acupuncture, P.C.
• Caryl Elaine Senn, MS PT
• Sensational Development OT, PLLC

• Physician Assistant in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2023; 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.