MRS. JUDITH MARIE SUMMERS RPA-C NPI 1407959430

NPI Information

  • NPI: 1407959430
  • Provider Name: MRS. JUDITH MARIE SUMMERS, RPA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 510 MONTAUK HIGHWAY
    SUITE C
    WEST ISLIP, NY
    ZIP 11795
  • Phone: (631) 587-1451

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NPI Details

MRS. Judith Marie Summers, RPA-C is a surgical physician assistant in West Islip, NY. MRS. Judith Marie Summers, RPA-C NPI is 1407959430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 MONTAUK HIGHWAY
SUITE C
WEST ISLIP, NY
ZIP 11795
Phone: (631) 587-1451
Fax: (631) 587-0503

The NPI 1407959430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical009084-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15294L1MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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