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ALYSSA EILEEN DE SIMONE PA-C
NPI 1740700541
Physician Assistant - Medical in Bay Shore, NY

Active since June 22, 2017PECOS Enrolled
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Eileen De Simone Pa-c NPPES

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

ALYSSA EILEEN DE SIMONE PA-C (NPI 1740700541) is an individual medical provider in Bay Shore, New York, licensed in New York (020815-1) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740700541
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALYSSA EILEEN DE SIMONECredential: PA-C
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address72 Violet StMassapequa Park, NY 11762-1251
Phone(631) 968-3000
Sole ProprietorNo
Enumeration DateJune 22, 2017
✔ NPI 1740700541 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
License✔ Licensed in NY · 020815-1
301 E MAIN ST, Bay Shore, NY 11706
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Eileen De Simone Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 Alyssa De Simone's NPI number?

The NPI number for Alyssa De Simone is 1740700541. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Alyssa De Simone located?

Alyssa De Simone practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Alyssa De Simone's specialty?

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

Is Alyssa De Simone enrolled in Medicare?

Yes. Alyssa De Simone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa De Simone was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.