Taxonomy Code 363A00000X(363a00000x)
Physician Assistant. Providers: 44

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Physician Assistant Providers

NPI Name Type Address

1205905056

Misook Kim

Individual

75 N Country Rd

Port Jefferson, NY

1114014032

PA Charles Mellor

Individual

75 N Country Rd

Port Jefferson, NY

1871683870

Paul Monthie

Individual

75 N Country Rd

Port Jefferson, NY

1659419679

Radha Joshi

Individual

75 N Country Rd

Port Jefferson, NY

1477093383

PA-C Ryan Fuellbier

Individual

625 Belle Terre Rd

202

Port Jefferson, NY

1043751845

PA-C Casey Ward

Individual

75 N Country Rd

Port Jefferson, NY

1588167456

PA Giancarlo Garcia

Individual

75 N Country Rd

Port Jefferson, NY

1710388319

MRS. PHYSICIAN ASSISTANT Nicole Ann Elliano

Individual

75 N Country Rd

Port Jefferson, NY

1255806501

Christopher Sorce

Individual

635 Belle Terre Rd Ste 204

Port Jefferson, NY

1477029585

PA-C Diana Matari

Individual

75 N Country Rd

Port Jefferson, NY

1073080768

PA-C Francis Richard Sicari

Individual

75 N Country Rd

Port Jefferson, NY

1558665414

MISS PA Kerry Lynn Johnson

Individual

635 Belle Terre Rd

Suite 204

Port Jefferson, NY

1962528273

PA Renee L. Xikis

Individual

75 N Country Rd

Port Jefferson, NY

1356983449

PA-C Joseph Francis Byrne

Individual

200 Belle Terre Rd

Port Jefferson, NY

1871998476

PA-C Stephanie Corrado

Individual

635 Belle Terre Rd

Port Jefferson, NY

1043792492

MR. PA Matthew Delph

Individual

200 Belle Terre Rd

Port Jefferson, NY

1124633169

MS. Ewelina Mieczkowska

Individual

75 N Country Rd

Port Jefferson, NY

1306431127

Alison Freedman

Individual

200 Belle Terre Rd

Port Jefferson, NY

1982794897

Lori-ann Kneessy

Individual

75 N Country Rd

Port Jefferson, NY

1609487735

MS. PA-C Jordan Verdie Kobel

Individual

635 Belle Terre Rd Ste 204

Port Jefferson, NY

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363A00000X
Display Name Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Effective Date September 30, 2009
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Physician Assistant Codes

Medical Physician Assistant

363AM0700X • providers: 36,490

Surgical Physician Assistant

363AS0400X • providers: 16,971