MATTHEW P VETRANO PA-C
NPI 1174599815
Physician Assistant - Surgical in East Setauket, NY

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733(631) 689-6698(631) 751-5548 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2019, Mar 18, 2019 (2 updates tracked since 2019).

About Matthew P Vetrano Pa-c NPPES

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

MATTHEW P VETRANO PA-C (NPI 1174599815) is an individual surgical provider in East Setauket, New York, licensed in New York (009095) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains a secondary practice location in Port Jefferson.

NPPES Registry Identity

NPI1174599815
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMATTHEW P VETRANOCredential: PA-C
Location Address6 TECHNOLOGY DR STE 100East Setauket, NY 11733-4079
Mailing Address6 Technology Dr Ste 100East Setauket, NY 11733-4079 · (631) 689-6698 · Fax (631) 751-5548
Fax(631) 751-5548
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 23, 2006
Last NPPES UpdateMay 17, 20192 updates tracked since enumeration
NPI 1174599815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 009095
Also ListedEmergency MedicineTaxonomy 207P00000X · License 009095-1 (NY)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 009095 (NY)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 009095 (NY)
6 TECHNOLOGY DR STE 100, East Setauket, NY 11733

Secondary Practice Location 1

Location 1200 Belle Terre RdPort Jefferson, NY 11777-1928 · Phone (631) 474-6000

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

Matthew P Vetrano Pa-c 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 ID547164428
PECOS Enrollment IDI20031121000675
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Sports Medicine)
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733
Family Medicine (Sports Medicine)
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733
Orthopaedic Surgery
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733
Physician Assistant
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733
Physician Assistant
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733
Orthopaedic Surgery
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733
Physician Assistant (Surgical)
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733
Physician Assistant (Surgical)
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY 11733

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 Matthew Vetrano's NPI number?

The NPI number for Matthew Vetrano is 1174599815. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Matthew Vetrano located?

Matthew Vetrano practices at 6 Technology Dr Ste 100, East Setauket, NY 11733. The listed phone number is (631) 689-6698.

What is Matthew Vetrano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Vetrano enrolled in Medicare?

Yes. Matthew Vetrano 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.

Is Matthew Vetrano affiliated with any hospitals?

According to CMS data, Matthew Vetrano is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Matthew Vetrano was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.