Individual provider Active NPI

Patricia Elizabeth Nunziata, RPA-C

  • Medical Physician Assistant
  • Hampton Bays, NY
National Provider Identifier
1902128630
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
013867 Issued in NY
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

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03215501MedicaidNY

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
I20100318000001 NY Practitioner - Physician Assistant 1557496395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Li Urgent Care PCGroup PAC ID 8426273210, 15 clinicians

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

LicenseStateTypeSpecialty
013867NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meeting House Lane Medical Practice PC PastSince Aug 3, 2015 Accepting new patients
Southampton Hospital Association Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.