Doctor profile · Federal record
Dr. Mary Giannico, PA
Physician Assistant · Surgical Physician Assistant · Port Jefferson, NY
- NPI 1154908390
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
75 N Country RD
Port Jefferson, NY 117772119
(631) 473-1320 - Mailing address
-
134 Barrett Ave
Bayport, NY 117051415
Credentials & registration
- NPI registered
- March 2021 — 5 yrs on file
- Profile last updated
- July 8, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #026500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154908390. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$117
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 2 | $59.62 | |
| Vivus LLC | 2 | $38.14 | |
| Novo Nordisk INC | 1 | $19.26 |
By nature of payment
Frequently asked questions
What is Dr. Mary Giannico's medical specialty?
Dr. Mary Giannico practices Physician Assistant in Port Jefferson, NY.
Where does Dr. Mary Giannico practice?
Dr. Mary Giannico practices at 75 N Country RD, Port Jefferson, NY 117772119. Office phone: 6314731320.
What is Dr. Mary Giannico's NPI?
Dr. Mary Giannico's National Provider Identifier (NPI) is 1154908390, issued by NPPES.
Does Dr. Mary Giannico accept Medicare assignment?
Yes. Dr. Mary Giannico accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.