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
Mailing address34 E Montauk Hwy Ste 4, Hampton Bays, NY 11946-1866

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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