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Jack Massa

NPI 1942062302ActiveIndividual· Physician Assistant· Bay Shore, NY

Physician Assistant with Stony Brook Surgical Associates University Faculty Practice Corporati, practicing in Bay Shore, New York. Enrolled in Medicare as practitioner - physician assistant. Medtronic, Inc. was the largest of 5 companies reporting payments in 2025, $2,670 in all, mostly travel and lodging. Lists Suny/Stony Brook University Hospital as a hospital affiliation.

Overview

NPI1942062302
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJan 30, 2024
Last updated in NPPESJan 30, 2024
Certified by providerJan 30, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NY)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$2,670 · 21 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Travel and Lodging$1,626 · 10 payments
  • Food and Beverage$1,044 · 11 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Bay Shore

All 142 physician assistants in Bay Shore · All physician assistants in New York