Jennifer L Santoro, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

022858 Issued in NY

Practice address

107 N Ocean Ave Ste G
Patchogue, NY 11772-2012

Phone

(631) 654-5004

NPI assigned

Oct 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGIIBA/Endpoint/IGIIBA
• Direct secure messaging: jenniferchouinard@dajrihcpc.allscriptsdirect.net

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.

• Cherese M. Laporta D.O., PLLC

  • Family Medicine Physician
  • Patchogue, NY
  • NPI 1700050051
  Medicare reassignment
• PJS Medical Diagnostic PLLC

  • Diagnostic Radiology Physician
  • Port Jefferson Station, NY
  • NPI 1609110295

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1144795824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N OCEAN AVE STE G",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722012",
            "telephone_number": "631-654-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N OCEAN AVE STE G",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722012",
            "telephone_number": "631-654-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "022858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth S Sandusky, CASAC
• Jennifer Sanford, N.P.
• Jeanne Marie Sanginario-Victor
• Danielle Sangiovanni, LCSW
• Beatrice Alejandra Santonocito
• Sarah Healthcare, LLC
• Sarene Services Inc (Serene Home Nursing Agency)
• Bridget MM Sarich, LPN
• Stephen Joseph Saroli, DC
• Emma Therese Sarrett, MS, CCC-SLP

• Family Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.