SAMANTHA M FERAZZOLI
NPI 1700408762
Nurse Practitioner - Adult Health in Sea Cliff, NY
About Samantha M Ferazzoli NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA M FERAZZOLI (NPI 1700408762) is an individual adult health provider in Sea Cliff, New York, licensed in New York (309884) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha M Ferazzoli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Ferazzoli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sea Cliff, NY 11579
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11579 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEA CLIFF, NY 11579
SEA CLIFF, NY 11579
SEA CLIFF, NY 11579
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 Samantha Ferazzoli's NPI number?
The NPI number for Samantha Ferazzoli is 1700408762. It was assigned to this individual provider in the NPPES registry on May 13, 2020.
Where is Samantha Ferazzoli located?
Samantha Ferazzoli practices at 207 Glen Cove Ave, Sea Cliff, NY 11579. The listed phone number is (516) 676-1742.
What is Samantha Ferazzoli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Samantha Ferazzoli enrolled in Medicare?
Yes. Samantha Ferazzoli is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Ferazzoli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ferazzoli reassigns Medicare benefits to North Coast Internal Medicine, P.C. (Sea Cliff, NY). The 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 Samantha Ferazzoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Ferazzoli was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Samantha M Ferazzoli · NPI 1700408762
Adult Health physician in Sea Cliff, New York. Individual provider, active in the CMS NPPES registry since May 13, 2020.
## Identity
- **NPI:** 1700408762 (Entity type: Individual)
- **Enumerated:** May 13, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 309884 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 207 GLEN COVE AVE, Sea Cliff, NY 11579-1455
- **Phone:** (516) 676-1742
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Coast Internal Medicine, P.C. (NPI 1164600987, Sea Cliff, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1700408762) · Data from the CMS NPPES public registry.