DEVON DRISCOLL CONNOLLY PA-C
NPI 1912896655
Physician Assistant - Surgical in Patchogue, NY
About Devon Driscoll Connolly Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVON DRISCOLL CONNOLLY PA-C (NPI 1912896655) is an individual surgical provider in Patchogue, New York and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Devon Driscoll Connolly 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Community Hospital
Acute Care Hospitals · Patchogue, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
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 Devon Connolly's NPI number?
The NPI number for Devon Connolly is 1912896655. It was assigned to this individual provider in the NPPES registry on June 30, 2025.
Where is Devon Connolly located?
Devon Connolly practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 654-7100.
What is Devon Connolly's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Devon Connolly enrolled in Medicare?
Yes. Devon Connolly 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 Devon Connolly affiliated with any hospitals?
According to CMS data, Devon Connolly is affiliated with Long Island Community Hospital.
When was this NPI record last updated?
The NPPES record for Devon Connolly was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Devon Driscoll Connolly, PA-C · NPI 1912896655
Surgical physician in Patchogue, New York. Individual provider, active in the CMS NPPES registry since June 30, 2025.
## Identity
- **NPI:** 1912896655 (Entity type: Individual)
- **Enumerated:** June 30, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 101 HOSPITAL RD, Patchogue, NY 11772-4870
- **Phone:** (631) 654-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 30, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1912896655) · Data from the CMS NPPES public registry.