Active NPI
Sara Page, PA-C
- Physician Assistant
- Smithtown, NY
National Provider Identifier
1568380053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 036076
- Practice address
- 48 Route 25a Ste 107
Smithtown, NY 11787-1447 - Phone
- (631) 228-5530
- NPI assigned
- Jul 9, 2026
- Last updated
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 036076 | NY | Primary |
Addresses
Primary practice location
48 Route 25a Ste 107
Smithtown, NY 11787-1447
Mailing address
48 Route 25a Ste 107
Smithtown, NY 11787-1447
Other practice location 1
500 Commack Rd Unit 150E
Commack, NY 11725-5009
Phone (631) 228-5530
Other practice location 2
55 Medford Ave Unit D
Patchogue, NY 11772-1229
Phone (631) 228-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036076 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1164585725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1568380053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 ROUTE 25A STE 107",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 ROUTE 25A STE 107",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871447",
"telephone_number": "631-228-5530"
}
],
"practiceLocations": [
{
"address_1": "500 Commack Rd Unit 150E",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117255009",
"country_code": "US",
"telephone_number": "631-228-5530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Medford Ave Unit D",
"address_purpose": "LOCATION",
"city": "Patchogue",
"state": "NY",
"postal_code": "117721229",
"country_code": "US",
"telephone_number": "631-228-5530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGE",
"first_name": "SARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-09",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "036076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.