Active NPI
James Smagala, PA-C
- Physician Assistant
- Bayport, NY
National Provider Identifier
1083138754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021090
- Practice address
- 859 Montauk Hwy Ste 3
Bayport, NY 11705-1634 - Phone
- (631) 868-7200
- NPI assigned
- Aug 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 021090 | NY | Primary |
Addresses
Primary practice location
859 Montauk Hwy Ste 3
Bayport, NY 11705-1634
Mailing address
23 Eustace Dr
Commack, NY 11725-5318
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191017002585 | NY | Practitioner - Physician Assistant | 8022349315 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34 Commerce Ave
Riverhead, NY 11901-3118
Phone (631) 727-1600
496 County Rd
111 BLDG B
Manorville, NY 11949-3386
Phone (631) 405-3200
64 Commerce Ave
Riverhead, NY 11901-4455
Phone (631) 369-5000
855 Montauk Hwy
Shirley, NY 11967-2153
Phone (631) 815-1968
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021090 | NY | MD | Physician Assistant |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Suffolk Hosptial | Current | Accepting new patients | |
| Lisa Marx, DO, PLLC | Past | Accepting new patients | |
| Vikas Desai MD PC | Past | Accepting new patients |
Locations
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIEGBD
- jsmagala70034@northwell.direct-ci.com
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Riverhead, NY
- NPI 1841637741
-
- Primary Care Clinic/Center
- Bayport, NY
- NPI 1700202629
-
- Internal Medicine Physician
- East Islip, NY
- NPI 1407096282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1083138754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 EUSTACE DR",
"city": "COMMACK",
"state": "NY",
"postal_code": "117255318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 MONTAUK HWY STE 3",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117051634",
"telephone_number": "631-868-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMAGALA",
"first_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.