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EMILY JOAN CAVANAUGH
NPI 1679378475
Physician Assistant - Medical in Eastport, NY

Active since February 17, 2025PECOS Enrolled
21 EASTPORT MANOR RD, EASTPORT, NY 11941(631) 325-2255 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Joan Cavanaugh NPPES

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

EMILY JOAN CAVANAUGH (NPI 1679378475) is an individual medical provider in Eastport, New York, licensed in New York (033219) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679378475
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEMILY JOAN CAVANAUGH
Location Address21 EASTPORT MANOR RDEastport, NY 11941-1410
Mailing Address119 Hiawatha DrBrightwaters, NY 11718-1826
Phone(631) 325-2255
Sole ProprietorNo
Enumeration DateFebruary 17, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1679378475 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
License✔ Licensed in NY · 033219
21 EASTPORT MANOR RD, Eastport, NY 11941
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Joan Cavanaugh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ALEXANDER FULLER PA-C
Physician Assistant
21 EASTPORT MANOR RD
EASTPORT, NY 11941
Suffolk County (631) 325-2255
JILLIAN EILEEN SAETTA P.A.
Physician Assistant (Medical)
21 EASTPORT MANOR RD
EASTPORT, NY 11941
Suffolk County (631) 325-2255
JEANNE FRANCES SPEIR N.P.
Nurse Practitioner (Family)
21 EASTPORT MANOR RD
EASTPORT, NY 11941
Suffolk County (631) 325-2255
ASHA ANTONY PA
Physician Assistant
21 EASTPORT MANOR RD
EASTPORT, NY 11941
Suffolk County (631) 325-2255
MRS. KRISTIE LYNN LANGA FNP-C
Nurse Practitioner (Family)
21 EASTPORT MANOR RD
EASTPORT, NY 11941
Suffolk County (631) 325-2255

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 Emily Cavanaugh's NPI number?

The NPI number for Emily Cavanaugh is 1679378475. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Emily Cavanaugh located?

Emily Cavanaugh practices at 21 Eastport Manor Rd, Eastport, NY 11941. The listed phone number is (631) 325-2255.

What is Emily Cavanaugh's specialty?

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

Is Emily Cavanaugh enrolled in Medicare?

Yes. Emily Cavanaugh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Cavanaugh was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.