Individual provider Active NPI

Julia Elizabeth Fitzpatrick, PA-C

  • Physician Assistant
  • Port Jefferson, NY
National Provider Identifier
1033773361
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
75 N Country Rd
Port Jefferson, NY 11777-2190
Phone
(631) 473-1320
Fax
(631) 306-7949
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

75 N Country Rd
Port Jefferson, NY 11777-2190

Mailing address

11 Bayview CT
Setauket, NY 11733-4003
Phone (631) 707-1506

Other practice location 1

11 Bayview Ct
Setauket, NY 11733-4003
Phone (631) 707-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101000346 NY Practitioner - Physician Assistant 9436481967 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John T Mather Memorial HospitalGroup PAC ID 1254237753, 176 clinicians

Practice addresses (Care Compare)

75 N Country Rd
Port Jefferson, NY 11777-2119

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 1, 2022 Accepting new patients
Mercy Medical Center CurrentSince Jan 25, 2022 Accepting new patients
John T Mather Memorial Hospital CurrentSince Oct 19, 2023 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Sep 17, 2021 Accepting new patients
CHS Physician Partners, PC CurrentSince Feb 1, 2022 Accepting new patients
Mercy Medical Center CurrentSince Jan 25, 2022 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Oct 19, 2023 Accepting new patients
New York Bariatric Surgery Group PLLC PastSince Nov 1, 2022 Accepting new patients
St Charles Hospital Corp Past Accepting new patients
John T. Mather Memorial Hospital Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

13848 Elder Ave
Flushing, NY 11355
Phone (718) 321-7100

16303 Horace Harding Expy
Ste 100
Fresh Meadows, NY 11365
Phone (718) 454-4600

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1033773361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BAYVIEW CT",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117334003",
            "telephone_number": "631-707-1506",
            "fax_number": "631-306-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772190",
            "telephone_number": "631-473-1320",
            "fax_number": "631-306-7949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Bayview Ct",
            "address_purpose": "LOCATION",
            "city": "Setauket",
            "state": "NY",
            "postal_code": "117334003",
            "country_code": "US",
            "telephone_number": "631-707-1506",
            "fax_number": "631-306-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JULIA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.