| Dr Nicholas Otts, | |
| 
					475 Seaview Ave, Staten Island, NY 10305-3436  | |
| (718) 226-1548 | |
| Not Available | 
| Full Name | Dr Nicholas Otts | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 475 Seaview Ave, Staten Island, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538546452 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 293968-1 (New York) | Primary | 
| Entity Name | Dobbs Ferry Emergency Medicine, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457381477 PECOS PAC ID: 8022908268 Enrollment ID: O20040319000362  | 
| Entity Name | Physicians Of University Hospital Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002  | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262  | 
| Entity Name | Physicians Medical Associates New York Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073386421 PECOS PAC ID: 7618310368 Enrollment ID: O20240209000066  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nicholas Otts, 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-1548  | Dr Nicholas Otts, 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-1548  | 
Shamyla Farrukh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9158 Fax: 718-226-6964  | |
Dr. Shorok E Hassan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000  | |
Patrick Kettyle, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855  | |
Edward Adrian, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608  | |
Paul Bollmeyer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608  | |
Ann Marchesano, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Emergency Dept, Staten Island, NY 10310 Phone: 718-818-2055 Fax: 212-356-4608  | |
Dr. Teresa Myongeun Choe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-8855  |