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BLISS NICOLE LANZELOTTI PA-C
NPI 1114499787
Physician Assistant - Surgical in East Northport, NY

Active since December 20, 2018PECOS Enrolled
161 DALY RD, EAST NORTHPORT, NY 11731(516) 581-0395 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bliss Nicole Lanzelotti Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLISS NICOLE LANZELOTTI PA-C (NPI 1114499787) is an individual surgical provider in East Northport, New York, licensed in New York (023091) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114499787
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBLISS NICOLE LANZELOTTICredential: PA-C
Location Address161 DALY RDEast Northport, NY 11731-6335
Mailing Address161 Daly RdEast Northport, NY 11731-6335
Phone(516) 581-0395
Sole ProprietorNo
Enumeration DateDecember 20, 2018
✔ NPI 1114499787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 023091
161 DALY RD, East Northport, NY 11731
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bliss Nicole Lanzelotti Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bliss Lanzelotti's NPI number?

The NPI number for Bliss Lanzelotti is 1114499787. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Where is Bliss Lanzelotti located?

Bliss Lanzelotti practices at 161 Daly Rd, East Northport, NY 11731. The listed phone number is (516) 581-0395.

What is Bliss Lanzelotti's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bliss Lanzelotti enrolled in Medicare?

Yes. Bliss Lanzelotti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bliss Lanzelotti was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.