Active NPI
Patricia Elizabeth Nunziata, RPA-C
- Medical Physician Assistant
- Hampton Bays, NY
National Provider Identifier
1902128630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 013867
- Practice address
- 34 E Montauk Hwy Ste 4
Hampton Bays, NY 11946-1866 - Phone
- (631) 728-0505
- Fax
- (631) 728-4038
- NPI assigned
- Feb 22, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 013867 | NY | Primary |
Addresses
Primary practice location
34 E Montauk Hwy Ste 4
Hampton Bays, NY 11946-1866
Mailing address
34 E Montauk Hwy Ste 4
Hampton Bays, NY 11946-1866
Phone (631) 728-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03215501 | Medicaid | NY |
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, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
383 N Sunrise Service Rd
Suite 8
Manorville, NY 11949-9603
Phone (631) 716-5410
403 Little E Neck Rd
West Babylon, NY 11704-6518
Phone (631) 716-5463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013867 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meeting House Lane Medical Practice PC | Past | Accepting new patients | |
| Southampton Hospital Association | Past | Accepting new patients |
Interoperability endpoints
- patricia.nunziata.1@8960.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- West Babylon, NY
- NPI 1184047870
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
-
- Internal Medicine Physician
- Southampton, NY
- NPI 1902088495
-
- Primary Care Clinic/Center
- Westhampton Beach, NY
- NPI 1295899086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1902128630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 E MONTAUK HWY STE 4",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119461866",
"telephone_number": "631-728-0505",
"fax_number": "631-728-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 E MONTAUK HWY STE 4",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119461866",
"telephone_number": "631-728-0505",
"fax_number": "631-728-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNZIATA",
"first_name": "PATRICIA",
"middle_name": "ELIZABETH",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "013867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03215501",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.