PETER EVAN PROTZEL DDS, MD
NPI 1700802980
Oral & Maxillofacial Surgery in Bethpage, NY
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peter Evan Protzel Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Peter Protzel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westbury, NY 11590
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Northwell Healthcare Inc
- 211 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Manhasset, NY 11030
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Black Hall Dental PC
- 12 clinicians in this Medicare group
New York, NY 10001
- Reassigned Medicare billing, New York enrollment
- 6 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.
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.
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, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHPAGE, NY 11714
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.
Which organizations bill Medicare for Peter Protzel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Protzel reassigns Medicare benefits to 4 organizations: North Shore Long Island Jewish Healthcare (Westbury, NY), White Hall Dental, PC (New Hyde Park, NY), Black Hall Dental, P.C. (Manhasset, NY) and Lenox Otolaryngology Head & Neck Surgery PC (New York, NY). Each 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 Peter Protzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Peter Evan Protzel, DDS, MD · NPI 1700802980
Oral & Maxillofacial Surgery physician in Bethpage, New York. Individual provider, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1700802980 (Entity type: Individual)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 047168 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4277 HEMPSTEAD TPKE, SUITE 214, Bethpage, NY 11714-5709
- **Phone:** (516) 735-6505 · **Fax:** (516) 735-3326
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): North Shore Long Island Jewish Healthcare (NPI 1215019500, Westbury, NY); White Hall Dental, PC (NPI 1376268821, New Hyde Park, NY); Black Hall Dental, P.C. (NPI 1356091516, Manhasset, NY); Lenox Otolaryngology Head & Neck Surgery PC (NPI 1689871238, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** March 12, 2025
- **Other identifiers:** Medicaid 02339499 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1700802980) · Data from the CMS NPPES public registry.