ANDREW DAVID PANETTA NPI 1972979953

NPI Information

  • NPI: 1972979953
  • Provider Name: ANDREW DAVID PANETTA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 E MAIN ST
    BAY SHORE, NY
    ZIP 11706
  • Phone: (631) 968-3000

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NPI Details

Andrew David Panetta is a surgical physician assistant in Bay Shore, NY with 11 years of experience. Andrew David Panetta NPI is 1972979953. 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:

301 E MAIN ST
BAY SHORE, NY
ZIP 11706
Phone: (631) 968-3000

The NPI 1972979953 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of vein using an endoscope (HCPCS:33508)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)

The enumeration date for this NPI number is 8/13/2015 and was last updated on 6/6/2018.

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
1282N00000XGeneral Acute Care Hospital018922NEW YORKNo
2363AS0400XPhysician AssistantSurgical018922NEW YORKYes

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: 11/21/2025

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