JILLIAN EILEEN SAETTA


Address: 64 Commerce Ave, Riverhead, NY 11901-4455
Phone: 6313695000

JILLIAN EILEEN SAETTA (NPI# 1366715724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366715724
Entity Type Individual
Full Name JILLIAN EILEEN SAETTA
Other Name JILLIAN EILEEN HUNTER
Credential P.A.
Practice Address 64 Commerce Ave
Riverhead
NY 11901-4455
Mailing Address 185 Old Country Rd
Suite 2
Riverhead
NY 11901-2121
Practice Telephone 6313695000
Practice Fax Number 6315748773
Mailing Telephone 6312984479
Mailing Fax Number 6315913047
Enumeration Date 2012-02-15
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 5893 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA22066 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0196942 NY Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
5893 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 64 COMMERCE AVE
City RIVERHEAD
State NY
Zip Code 11901-4455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922049089 Louis C Romeo Orthopaedic Surgery 64 Commerce Ave, Riverhead, NY 11901-4455 2006-06-09
1962019760 Olivia Renee Demarco Physician Assistant 64 Commerce Ave, Riverhead, NY 11901-4455 2020-09-25
1649697004 Kristen Sochol Orthopaedic Surgery 64 Commerce Ave, Riverhead, NY 11901-4455 2014-03-24
1528272648 Michael Emanuel Ciminiello Orthopaedic Surgery 64 Commerce Ave, Riverhead, NY 11901-4455 2007-05-09

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NPI Name Taxonomy Address Enumeration
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1922569136 Mjd Optical Corp Optometrist 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 2019-03-29
1356837702 Justin M Liu Physician Assistant 31 Main Rd Ste 3, Riverhead, NY 11901 2018-07-09
1467943522 North Shore Hematology Oncology Associates PC Clinic/Center 750 Old Country Rd Bldg 2, Riverhead, NY 11901 2018-05-24
1063918688 Riverhead Volunteer Ambulance Corps Inc Ambulance 111 Osborn Ave, Riverhead, NY 11901 2018-04-03
1669977906 Joseph Cataldo Student in an Organized Health Care Education/Training Program 64 Ida Lane, Riverhead, NY 11901 2018-03-28
1861903056 The Flanders Northampton Volunteer Ambulance Company Inc Ambulance 641 Flanders Road, Flanders, NY 11901 2017-10-16
1336676659 Patricia Ann Leask Registered Nurse 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 2017-05-17
1922463447 Diana Williams-burke Counselor 550 East Main St Suite 103, Riverhead, NY 11901 2015-12-29
1699155549 Twin Forks Optometry, Pllc Optometrist 25 Cranberry Street, Riverhead, NY 11901 2015-06-05
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
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1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
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Competitor

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City RIVERHEAD
Zip Code 11901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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