Amanda Foy
Individual provider Active NPI Physician Assistant · Port Jefferson Station, NY
NPI 1053138263 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1053138263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 032818 (NY)
- Practice address
- 112 Terryville Rd
Port Jefferson Station, NY 11776-1329 - Phone
- (631) 209-2827
- NPI assigned
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- CS Medical Associates, PC
Practice addresses (Care Compare)
5100 Sunrise Hwy
FL 2
Massapequa Park, NY 11762-2935
Phone (631) 696-4357
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260120000327 | NY | Practitioner - Physician Assistant | 7911484191 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032818 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Medical Associates, P.C. | Current |
Accepting new patients | |
| CS Medical Associates, P.C. | Current |
Accepting new patients |
Locations
100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234
1377 Motor Pkwy
Ste 102
Islandia, NY 11749
5100 Sunrise Hwy
Fl 2
Massapequa Park, NY 11762
Phone (516) 205-6714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 032818 | NY | Yes |
Addresses
Primary practice location
112 Terryville Rd
Port Jefferson Station, NY 11776-1329
Mailing address
275 Mount Carmel Ave
Hamden, CT 06518-1961
Other providers in Port Jefferson Station, NY
- Damian Forletti
- Meagan Forsythe
- Jeanmarie Fortunato
- Amy Foster
- Kristina Fowler
- Francillia Francis-Bevans
- Nicole E Francisco
- Frank Kershis PT PC
- Kimberly Ann Frasca
- Jodi Friedberg
All providers in Port Jefferson Station, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.