ANTHONY ROSALIA
NPI 1366831190
Physician Assistant in Port Jefferson Station, NY

Active since January 16, 2015PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
4724 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(631) 474-5900(631) 828-1946 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Rosalia NPPES

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

ANTHONY ROSALIA (NPI 1366831190) is an individual physician assistant in Port Jefferson Station, New York, licensed in New York (006249) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Setauket, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1366831190
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANTHONY ROSALIA
Location Address4724 NESCONSET HWYPort Jefferson Station, NY 11776-2580
Mailing Address1345 Rxr Plz Fl 13Uniondale, NY 11556-1301 · (516) 453-0435 · Fax (646) 846-3283
Fax(631) 828-1946
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 16, 2015
Last NPPES UpdateNovember 26, 2019
NPI 1366831190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 006249
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 006249 (NY)
4724 NESCONSET HWY, Port Jefferson Station, NY 11776

Secondary Practice Location 1

Location 17 S Jersey AveEast Setauket, NY 11733-2065 · Phone (631) 689-2700

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

Anthony Rosalia 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 ID6406123868
PECOS Enrollment IDI20170606002578
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 16

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.

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.
664 services606 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
153 services152 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
133 services125 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
113 services109 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
66 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 5

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

Physician Assistant
4724 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Clinic/Center (Urgent Care)
4724 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Emergency Medicine
4724 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Emergency Medicine
4724 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Physician Assistant
4724 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776

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 Anthony Rosalia's NPI number?

The NPI number for Anthony Rosalia is 1366831190. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Where is Anthony Rosalia located?

Anthony Rosalia practices at 4724 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-5900.

What is Anthony Rosalia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anthony Rosalia enrolled in Medicare?

Yes. Anthony Rosalia 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 Anthony Rosalia was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.