SAMUEL B KRIVIT RPA-C NPI 1477862225

NPI Information

NPI: 1477862225
Provider Name: SAMUEL B KRIVIT, RPA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
HSC T12 RM 080
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-8070
Get Directions

Samuel B Krivit, RPA-C is a surgical physician assistant in Stony Brook, NY with 14 years of experience. Samuel B Krivit, RPA-C NPI is 1477862225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

HSC T12 RM 080
STONY BROOK, NY
ZIP 11794-122
Phone: (631) 444-8070
Fax: (631) 444-1535

The NPI 1477862225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2010 and was last updated on 6/19/2014.

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
1	363A00000X	Physician Assistant		9105657	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	014711	NEW YORK	Yes

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: 4/28/2024

NPI Synchronization or Removal

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