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

Dr. Susan Tara Mackey, DC, PA-C

Individual provider Chiropractor · NPI 1427080563

Dr. Susan Tara Mackey, DC, PA-C is a Physician Assistant in Patchogue, New York. Qualified in 2015, 11 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

77 Medford Ave
Patchogue, NY 11772-1281
Phone: (631) 758-1910
Fax: (631) 758-2371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12 Deer Dr, Sound Beach, NY 11789-1328 — (631) 744-1845

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018994-1 (NY)
Chiropractor Taxonomy 111N00000X · Licence X007538-1 (NY)

Record details

NPI number1427080563
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC , PA-C
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Patchogue