Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth Tengco, RPA-C

Individual provider Physician Assistant · NPI 1225377104

Elizabeth Tengco, RPA-C is a Physician Assistant in Smithtown, New York. Qualified in 2012, 14 years ago. Practices with Community Medical Wellness PC, a 22-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

290 E Main St
Smithtown, NY 11787-2916
Phone: (631) 361-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016400 (NY)

Record details

NPI number1225377104
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedFebruary 12, 2013
Last updated in NPPESMarch 22, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Community Medical Wellness Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Community Medical Wellness PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 22 clinicians in the practice; 12 are shown here.

Other providers in Smithtown