ETTINGER MEDICAL SERVICES PLLC
NPI 1114639309
Psychiatry & Neurology - Neurology in Dix Hills, NY
About Ettinger Medical Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETTINGER MEDICAL SERVICES PLLC (NPI 1114639309) is a healthcare organization registered as a neurology in Dix Hills, New York and active in the NPI registry since December 2022. The organization lists Alan Ettinger, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ettinger Medical Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ettinger Medical Services PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ettinger Medical Services PLLC's NPI number?
The NPI number for Ettinger Medical Services PLLC is 1114639309. It was assigned to this organization in the NPPES registry on December 19, 2022.
Where is Ettinger Medical Services PLLC located?
Ettinger Medical Services PLLC is located at 25 Brycewood Dr, Dix Hills, NY 11746. The listed phone number is (631) 974-7236.
What is Ettinger Medical Services PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Ettinger Medical Services PLLC enrolled in Medicare?
Yes. Ettinger Medical Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ettinger Medical Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Ettinger Medical Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ettinger Medical Services PLLC was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ettinger Medical Services Pllc · NPI 1114639309
Neurology organization in Dix Hills, New York. Organization record, active in the CMS NPPES registry since December 19, 2022.
## Identity
- **NPI:** 1114639309 (Entity type: Organization)
- **Enumerated:** December 19, 2022
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Alan Ettinger, OWNER
## Practice location
- **Address:** 25 BRYCEWOOD DR, Dix Hills, NY 11746-4906
- **Phone:** (631) 974-7236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114639309) · Data from the CMS NPPES public registry.