Individual provider Active NPI

Jillian Eileen Saetta, P.A.

  • Medical Physician Assistant
  • Eastport, NY
National Provider Identifier
1366715724
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
019694 Issued in NY
Practice address
21 Eastport Manor Rd
Eastport, NY 11941-1410
Phone
(631) 325-2255
Fax
(631) 438-0770
NPI assigned
Feb 15, 2012
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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 019694 NY Primary

Addresses

Primary practice location

21 Eastport Manor Rd
Eastport, NY 11941-1410

Mailing address

PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 430-2090

Other names 1

  • Jillian Eileen Hunter Former name

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
I20170208000263 NY Practitioner - Physician Assistant 7719148022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
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

LicenseStateTypeSpecialty
019694NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical PLLC CurrentSince Feb 2, 2025 Accepting new patients
R&T Medical PC CurrentSince Feb 2, 2025 Accepting new patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor CurrentSince Feb 23, 2026 Accepting new patients
Spinecare Medical Group Inc Past Accepting new patients

Locations

285 Sills Rd
Bldg 10D
East Patchogue, NY 11772
Phone (631) 438-0777

21 Eastport Manor Rd
Eastport, NY 11941
Phone (631) 325-2255

21 Eastport Manor Rd
Ste 2
Eastport, NY 11941

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8524/brand/1/csg/1/fhir/r4

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, 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": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1366715724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-430-2090",
            "fax_number": "631-546-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTPORT MANOR RD",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411410",
            "telephone_number": "631-325-2255",
            "fax_number": "631-438-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAETTA",
        "first_name": "JILLIAN",
        "middle_name": "EILEEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "HUNTER",
            "middle_name": "EILEEN",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eastport, NY

Sources for this page

Verify at the official NPI Registry.