Stacy Lynn Felicetta, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015445-1 Issued in NY

Practice address

38 E Main St # 40
Bay Shore, NY 11706-8329

Phone

(631) 647-9555

NPI assigned

Feb 7, 2012

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

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.

• Dr. Jennifer McMonigle Medical, P.C.

  • Neurology Physician
  • East Northport, NY
  • NPI 1497392617
  Medicare reassignment
• Main Street Medical, PC

  • Internal Medicine Physician
  • Bay Shore, NY
  • NPI 1184049835
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1720350671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E MAIN ST # 40",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E MAIN ST # 40",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068329",
            "telephone_number": "631-647-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICETTA",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015445-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Farrell, LCSW
• Joseph A Fasano, NP
• Barry Fayman, MD
• Alyssa Febbraro, DPT
• Tiffney Felder, RN
• Sara Angelique Felipe, OTR/L
• Georgie C Felix
• Hernande Felix, LPN
• Tony Feng, PHARMD
• Kathleen Ferrante, NP

• Physician Assistant in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.