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

Brian J. Janicek, PA

Individual provider Physician Assistant · NPI 1407832413

Brian J. Janicek, PA is a Physician Assistant in Oceanside, New York. Qualified in 1996, 30 years ago. Practices with South Nassau Physician Group PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2005
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

1 Healthy Way
Oceanside, NY 11572-1551
Phone: (516) 632-3900
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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 005690-1 (NY)

Record details

NPI number1407832413
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESMay 13, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice South Nassau Physician Group Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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