Individual provider Active NPI

Scott David Amzler, NP-C

  • Adult Health Nurse Practitioner
  • East Setauket, NY
National Provider Identifier
1831672302
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308828 Issued in NY
Practice address
8 Technology Dr
East Setauket, NY 11733-3327
Phone
(631) 675-9393
NPI assigned
Sep 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308828 NY Primary

Addresses

Primary practice location

8 Technology Dr
East Setauket, NY 11733-3327

Mailing address

247 Hidden Acres Path
Wading River, NY 11792-2210

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
I20190503001545 NY Practitioner - Nurse Practitioner 0244572683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Marc Allen Medical PCGroup PAC ID 9133185770, 6 clinicians

Practice addresses (Care Compare)

1045 W Jericho Tpke
Smithtown, NY 11787-3205
Phone (631) 543-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Marc Allen Medical PC CurrentSince May 1, 2024 Accepting new patients

Locations

1170 Fort Salonga Rd
Northport, NY 11768

1045 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 543-8844

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1831672302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 HIDDEN ACRES PATH",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TECHNOLOGY DR",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-675-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMZLER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.