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

Justine Tuttle, PA

Individual provider Physician Assistant · NPI 1508108358

Justine Tuttle, PA is a Physician Assistant in Centereach, New York. Qualified in 2013, 13 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

23 S Howell Ave Ste D
Centereach, NY 11720-4445
Phone: (631) 444-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016435-1 (NY)

Record details

NPI number1508108358
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 20, 2013
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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