Individual provider Active NPI

Erika M Jurasits, D.O

  • Family Medicine Physician
  • Port Jefferson, NY
National Provider Identifier
1043287006
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210112 Issued in NY
Practice address
170 N Country Rd Ste 2
Port Jefferson, NY 11777-2606
Phone
(631) 509-6888
Fax
(631) 509-6895
NPI assigned
Mar 8, 2006
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210112 NY Primary

Addresses

Primary practice location

170 N Country Rd Ste 2
Port Jefferson, NY 11777-2606

Mailing address

4 High CT
Mount Sinai, NY 11766-1204
Phone (631) 509-6888

Other practice location 1

548 Roanoke Ave
Riverhead, NY 11901-2726
Phone (631) 722-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1043287006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIGH CT",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661204",
            "telephone_number": "631-509-6888",
            "fax_number": "631-509-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N COUNTRY RD STE 2",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772606",
            "telephone_number": "631-509-6888",
            "fax_number": "631-509-6895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "548 Roanoke Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012726",
            "country_code": "US",
            "telephone_number": "631-722-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURASITS",
        "first_name": "ERIKA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.