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JACK MASSA
NPI 1942062302
Physician Assistant in Bay Shore, NY

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Massa NPPES

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

JACK MASSA (NPI 1942062302) is an individual physician assistant in Bay Shore, New York and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1942062302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK MASSA
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address4001 The FairwayCalverton, NY 11933-1372 · (631) 413-5955
Phone(631) 968-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1942062302 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.
301 E MAIN ST, Bay Shore, NY 11706
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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

Jack Massa 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 ID446785604
PECOS Enrollment IDI20241125001594
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 Jack Massa's NPI number?

The NPI number for Jack Massa is 1942062302. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Jack Massa located?

Jack Massa practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Jack Massa's specialty?

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

Is Jack Massa enrolled in Medicare?

Yes. Jack Massa 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 Jack Massa affiliated with any hospitals?

According to CMS data, Jack Massa is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jack Massa was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.