Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Oliver M Betancourt, PA-C

Individual provider Physician Assistant · NPI 1215562350

Oliver M Betancourt, PA-C is a Physician Assistant in Syosset, New York. Qualified in 2020, 6 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

32 Beatrice Ave
Syosset, NY 11791-4005
Phone: (516) 592-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32 Beatrice Ave, Syosset, NY 11791-4005

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215562350
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Syosset