Individual provider Active NPI

Stephanie Piotrovsky, RPA-C

  • Surgical Physician Assistant
  • Rockville Centre, NY
National Provider Identifier
1770620601
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
008400 Issued in NY
Practice address
36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone
(516) 536-2800
Fax
(516) 763-1784
NPI assigned
Jan 31, 2007
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 008400 NY
Surgical Physician Assistant 363AS0400X 008400 NY Primary

Addresses

Primary practice location

36 Lincoln Ave
Rockville Centre, NY 11570-5768

Mailing address

1728 Sunrise Hwy
Merrick, NY 11566-3745
Phone (516) 992-4568

Other names 1

  • Mrs. Stephanie Shannon Other name

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
I20120806000327 NY Practitioner - Physician Assistant 2163678269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

1728 Sunrise Hwy
Merrick, NY 11566-3745
Phone (516) 992-4700

221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-6400

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone (516) 536-2800

444 Merrick Rd
Lynbrook, NY 11563-2460

45 Crossways Park Dr W
Woodbury, NY 11797-2002
Phone (516) 422-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008400NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Jan 1, 2018 Accepting new patients
True North Medical Group PC CurrentSince Jan 1, 2018 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
True North Medical Group PC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

3480 Veterans Memorial Hwy
Bohemia, NY 11716
Phone (631) 289-0338

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

444 Merrick Rd
Lynbrook, NY 11563
Phone (516) 536-3800

660 Broadway
Massapequa, NY 11758
Phone (516) 730-2222

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

686 County Road 39A
Southampton, NY 11968
Phone (631) 283-0355

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080

Networks

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

Interoperability endpoints

  • Direct secure messaging: stephaniepiotrovsky@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1770620601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745",
            "telephone_number": "516-992-4568",
            "fax_number": "516-992-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LINCOLN AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705768",
            "telephone_number": "516-536-2800",
            "fax_number": "516-763-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOTROVSKY",
        "first_name": "STEPHANIE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008400",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SHANNON",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.