Individual provider Active NPI

Guylaine Saintilien, PA-C, DMSC

  • Medical Physician Assistant
  • Ronkonkoma, NY
National Provider Identifier
1144565730
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
016284-1 Issued in NY
Practice address
3505 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7640
Phone
(631) 676-7656
Fax
(631) 676-7648
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 016284-1 NY Primary

Addresses

Primary practice location

3505 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7640

Mailing address

526 County Highway 4
Unadilla, NY 13849-2264

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
I20140528000184 NY Practitioner - Physician Assistant 6406080928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Professional Medical Care PCGroup PAC ID 9739359027, 14 clinicians

Practice addresses (Care Compare)

3505 Veterans Memorial Hwy
Suite C
Ronkonkoma, NY 11779-7613
Phone (631) 676-7656

Hospital & facility affiliations

  • Extended Home Care Home health agency, Brooklyn, NY, CCN 337414

Merit-based Incentive Payment System (MIPS)

Final score
25.83 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
86.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince Nov 8, 2021 Accepting new patients
Home Medical Services PLLC CurrentSince Jan 14, 2026 Accepting new patients
Chenango Memorial Hospital, Inc. Past Accepting new patients

Locations

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

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.

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1144565730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 COUNTY HIGHWAY 4",
            "city": "UNADILLA",
            "state": "NY",
            "postal_code": "138492264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VETERANS MEMORIAL HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797640",
            "telephone_number": "631-676-7656",
            "fax_number": "631-676-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINTILIEN",
        "first_name": "GUYLAINE",
        "name_prefix": "Dr.",
        "credential": "PA-C, DMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016284-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.