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

Emma Fedoryk

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376051748

Emma Fedoryk is a Physician Assistant in Port Jefferson Station, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2023, 3 years ago. Practices with North Shore Hematology Oncology Associates PC, a 473-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NY
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

49 Nesconset Hwy
Port Jefferson Station, NY 11776-2628
Phone: (631) 751-3000
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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 033644-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1376051748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address1 Research Rd, Ridge, NY 11961-2701

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2023 (3 years in practice)
Group practice North Shore Hematology Oncology Associates Pc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station