PETER EVAN PROTZEL DDS, MD
NPI 1700802980
Oral & Maxillofacial Surgery in Bethpage, NY

Active since July 14, 2006PECOS Enrolled
4277 HEMPSTEAD TPKE, SUITE 214, BETHPAGE, NY 11714(516) 735-6505(516) 735-3326 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Evan Protzel Dds, Md NPPES

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

PETER EVAN PROTZEL DDS, MD (NPI 1700802980) is an individual oral & maxillofacial surgery provider in Bethpage, New York, licensed in New York (047168) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1996).

NPPES Registry Identity

NPI1700802980
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NamePETER EVAN PROTZELCredential: DDS, MD
Location Address4277 HEMPSTEAD TPKE, SUITE 214Bethpage, NY 11714-5709
Mailing Address4277 Hempstead Turnpike, Suite 214Bethpage, NY 11714 · (516) 735-6505 · Fax (516) 735-3326
Fax(516) 735-3326
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1996
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1700802980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in NY · 047168
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 047168 (NY)
4277 HEMPSTEAD TPKE, Bethpage, NY 11714

Other Identifiers 1

Medicaid02339499NY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Peter Evan Protzel Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749244630
PECOS Enrollment IDI20041122000419
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

Dermatology (MOHS-Micrographic Surgery)
4277 HEMPSTEAD TPKE
BETHPAGE, NY 11714
Physical Therapist
4277 HEMPSTEAD TPKE, SUITE 209 A
BETHPAGE, NY 11714
Obstetrics & Gynecology (Gynecology)
4277 HEMPSTEAD TPKE, SUITE 200
BETHPAGE, NY 11714
Ophthalmology
4277 HEMPSTEAD TPKE, #109
BETHPAGE, NY 11714
Obstetrics & Gynecology
4277 HEMPSTEAD TPKE, SUITE 102
BETHPAGE, NY 11714
Ophthalmology
4277 HEMPSTEAD TPKE, #109
BETHPAGE, NY 11714
Radiology (Diagnostic Radiology)
4277 HEMPSTEAD TPKE, SUITE 200
BETHPAGE, NY 11714
Ophthalmology
4277 HEMPSTEAD TPKE, 109
BETHPAGE, NY 11714

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 Peter Protzel's NPI number?

The NPI number for Peter Protzel is 1700802980. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Peter Protzel located?

Peter Protzel practices at 4277 Hempstead Tpke Suite 214, Bethpage, NY 11714. The listed phone number is (516) 735-6505.

What is Peter Protzel's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Peter Protzel enrolled in Medicare?

Yes. Peter Protzel is registered in the Medicare PECOS enrollment system.

What insurance does Peter Protzel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Peter Protzel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Protzel affiliated with any hospitals?

According to CMS data, Peter Protzel is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Protzel was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.