SUMMER FOX PHYSICIAN ASSISTANT
NPI 1477302586
Physician Assistant - Medical in Riverhead, NY

Active since May 13, 2024PECOS Enrolled
1 HEROES WAY, RIVERHEAD, NY 11901(631) 548-6000 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Summer Fox Physician Assistant NPPES

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

SUMMER FOX PHYSICIAN ASSISTANT (NPI 1477302586) is an individual medical provider in Riverhead, New York and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477302586
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUMMER FOXCredential: PHYSICIAN ASSISTANT
Location Address1 HEROES WAYRiverhead, NY 11901-2058
Mailing Address15 Moon RdRocky Point, NY 11778-8619 · (631) 943-5857
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1477302586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1 HEROES WAY, Riverhead, NY 11901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summer Fox Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214406537
PECOS Enrollment IDI20260515002456
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901

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 Summer Fox's NPI number?

The NPI number for Summer Fox is 1477302586. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Summer Fox located?

Summer Fox practices at 1 Heroes Way, Riverhead, NY 11901. The listed phone number is (631) 548-6000.

What is Summer Fox's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Summer Fox enrolled in Medicare?

Yes. Summer Fox is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Summer Fox was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.