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MS. VANESSA ELIZABETH CARMONA TAMAYO PA-C
NPI 1609386028
Physician Assistant in Stony Brook, NY

Active since October 11, 2017PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS ROAD, STONY BROOK, NY 11794(631) 444-2599 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Jun 6, 2025, Oct 11, 2017 (3 updates tracked since 2017).

About Ms. Vanessa Elizabeth Carmona Tamayo Pa-c NPPES

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

MS. VANESSA ELIZABETH CARMONA TAMAYO PA-C (NPI 1609386028) is an individual physician assistant in Stony Brook, New York, licensed in New York (030265) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plainview, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609386028
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. VANESSA ELIZABETH CARMONA TAMAYOCredential: PA-C
Location Address101 NICOLLS ROADStony Brook, NY 11794-9452
Mailing Address123 Pine Hill RdPort Jefferson, NY 11777-2124 · (203) 909-8832
Phone(631) 444-2599
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 11, 2017
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1609386028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 030265✔ Licensed in MN · 12481
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.
101 NICOLLS ROAD, Stony Brook, NY 11794
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Secondary Practice Location 1

Location 120 2nd Ave NEPlainview, MN 55964-1497 · Phone (507) 534-3885

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. Vanessa Elizabeth Carmona Tamayo 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 ID1951668714
PECOS Enrollment IDI20231206003021
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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.

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.

MUZAMMIL KHAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 NICOLLS ROAD, HSC T16-020
STONY BROOK, NY 11794
Suffolk County (631) 444-8478
JUSTIN ALEXANDER BELL MD
Anesthesiology
101 NICOLLS ROAD, DEPARTMENT OF ANESTHESIOLOGY, HSC LEVEL 4, ROOM 060
STONY BROOK, NY 11794
Suffolk County (631) 444-2975
PHILLIP YEUN
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11794
Suffolk County (631) 444-7411
PRIYANKA RAMACHANDRA MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. GABRIELLA NICOLE PINHO M.D.
Obstetrics & Gynecology
101 NICOLLS ROAD, HSC 9, ROOM 020
MOUNT SINDAI, NY 11794
Suffolk County (631) 444-3987
DR. BAHAA E DAOUD MD
Anesthesiology
101 NICOLLS ROAD, HSC LEVEL 4 ROOM 60
STONY BROOK, NY 11794
Suffolk County (631) 444-2078
DR. ALLISON PERNICE MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
DR. DAWEI WU DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCES CENTER LEVEL 4, ROOM 176
STONY BROOK, NY 11794
Suffolk County (631) 638-8517

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 Vanessa Carmona Tamayo's NPI number?

The NPI number for Vanessa Carmona Tamayo is 1609386028. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Vanessa Carmona Tamayo located?

Vanessa Carmona Tamayo practices at 101 Nicolls Road, Stony Brook, NY 11794. The listed phone number is (631) 444-2599.

What is Vanessa Carmona Tamayo's specialty?

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

Is Vanessa Carmona Tamayo enrolled in Medicare?

Yes. Vanessa Carmona Tamayo 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 Vanessa Carmona Tamayo was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.