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

Vincent Mule

Individual provider Physician Assistant · NPI 1821839093

Vincent Mule is a Physician Assistant in Smithtown, New York. Qualified in 2024, 2 years ago. Practices with Timothy D. Groth MD PC, a 44-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Phone: (631) 543-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1821839093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address994 W Jericho Tpke Ste 104, Smithtown, NY 11787-3211

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Timothy D. Groth Md Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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