JENNIFER AMANDA SAMANIEGO
NPI 1720962657
Physician Assistant in Stony Brook, NY

Q: What is Jennifer Samaniego's NPI number?

The NPI number for Jennifer Samaniego is 1720962657. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Q: What is Jennifer Samaniego's specialty?

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

Active since August 04, 2025PECOS EnrolledAccepts Medicare Assignment

100 NICOLLS RD, STONY BROOK, NY 11794(631) 632-6000 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jennifer Amanda Samaniego NPPES

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

JENNIFER AMANDA SAMANIEGO (NPI 1720962657) is an individual physician assistant in Stony Brook, New York and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720962657

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNIFER AMANDA SAMANIEGO

Location Address100 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address596 Old Medford AvePatchogue, NY 11772-1123

Phone(631) 632-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 4, 2025

NPPES CertifiedAugust 4, 2025

✔ NPI 1720962657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

100 NICOLLS RD, Stony Brook, NY 11794

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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 and accepts Medicare assignment

Jennifer Amanda Samaniego 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 ID3870086960

PECOS Enrollment IDI20251205003771

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.

MALWINA WLOCH M.D.

Anesthesiology

100 NICOLLS RD, SUNY AT STONY BROOK - DEPARTMENT OF ANESTHESIOLOGY
STONY BROOK, NY 11794

Suffolk County (631) 444-2968

CHABIDOU SAMPAIN FNP

Psychiatry & Neurology (Geriatric Psychiatry)