MS. JOHANNA PETRYCKI P.A.
NPI 1154513117
Physician Assistant - Medical in Smithtown, NY

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
222 MIDDLE COUNTRY RD, SUITE 228, SMITHTOWN, NY 11787(631) 265-1351(631) 265-9363 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Johanna Petrycki P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JOHANNA PETRYCKI P.A. (NPI 1154513117) is an individual medical provider in Smithtown, New York and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1154513117
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. JOHANNA PETRYCKICredential: P.A.
Location Address222 MIDDLE COUNTRY RD, SUITE 228Smithtown, NY 11787-2871
Mailing Address222 Middle Country Rd, Suite 228Smithtown, NY 11787-2871 · (631) 265-1351 · Fax (631) 265-9363
Fax(631) 265-9363
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 14, 2007
Last NPPES UpdateOctober 10, 2008
NPI 1154513117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
222 MIDDLE COUNTRY RD, Smithtown, NY 11787

Other Identifiers 2

Other1154513117NY · Npi
Other012251-1NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Johanna Petrycki P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729168950
PECOS Enrollment IDI20071231000151
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
725 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
415 services263 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
227 services181 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
201 services124 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
128 services87 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
72 services48 patients

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
222 MIDDLE COUNTRY RD, STE 210
SMITHTOWN, NY 11787
Psychiatry & Neurology (Psychiatry)
222 MIDDLE COUNTRY RD, SUITE 210
SMITHTOWN, NY 11787
Dentist
222 MIDDLE COUNTRY RD, SUITE 316
SMITHTOWN, NY 11787
Physical Therapist
222 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787
Family Medicine
222 MIDDLE COUNTRY RD, SUITE 103
SMITHTOWN, NY 11787
Psychiatry & Neurology (Psychiatry)
222 MIDDLE COUNTRY RD, SUITE 210
SMITHTOWN, NY 11787
Physical Therapist
222 MIDDLE COUNTRY RD, SUITE 105
SMITHTOWN, NY 11787
Specialist
222 MIDDLE COUNTRY RD, SUITE # 312
SMITHTOWN, NY 11787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Petrycki's NPI number?

The NPI number for Johanna Petrycki is 1154513117. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Johanna Petrycki located?

Johanna Petrycki practices at 222 Middle Country Rd Suite 228, Smithtown, NY 11787. The listed phone number is (631) 265-1351.

What is Johanna Petrycki's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johanna Petrycki enrolled in Medicare?

Yes. Johanna Petrycki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Johanna Petrycki was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.