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

William R Jutt, PA

Individual provider Physician Assistant · NPI 1770203564

William R Jutt, PA is a Physician Assistant in Bethpage, New York. Qualified in 2022, 4 years ago. Practices with St Joseph Hospital, a 99-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

4295 Hempstead Tpke
Bethpage, NY 11714
Phone: (516) 579-6000
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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 number1770203564
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateJuly 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St. Joseph Hospital — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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