Individual provider Active NPI

Joseph Tetonic

  • Physician Assistant
  • Smithtown, NY
National Provider Identifier
1609598580
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028883 Issued in NY
Practice address
373 Route 111 Ste 7
Smithtown, NY 11787-4759
Phone
(631) 360-7450
NPI assigned
Sep 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028883 NY Primary

Addresses

Primary practice location

373 Route 111 Ste 7
Smithtown, NY 11787-4759

Mailing address

270 Daniel St
Lindenhurst, NY 11757-3525
Phone (516) 207-9655

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
I20230405001189 NY Practitioner - Physician Assistant 7214302249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000

1500 Route 112
BLDG 2C
Port Jefferson Station, NY 11776-8055
Phone (631) 828-7220

800 Old Country Rd
Riverhead, NY 11901-2140
Phone (631) 837-2359

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC CurrentSince Apr 1, 2025 Accepting new patients
CHS Physician Partners, P.C CurrentSince Apr 1, 2025 Accepting new patients

Locations

500 Commack Rd
Unit 150
Commack, NY 11725
Phone (631) 371-8034

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

800 Old Country Rd
Riverhead, NY 11901
Phone (631) 228-5565

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

373 Route 111
Ste 7
Smithtown, NY 11787
Phone (631) 360-4000

393 Sunrise Hwy
West Babylon, NY 11704
Phone (516) 257-3001

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: josephtetonic@imppllc.allscriptsdirect.net
  • Direct secure messaging: jtetonic163275@direct-chsli.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1609598580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 DANIEL ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573525",
            "telephone_number": "516-207-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 ROUTE 111 STE 7",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874759",
            "telephone_number": "631-360-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETONIC",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.