| Dr Justin Michael Waryold, DNP, NP-C | |
|
59 Southern Blvd, Nesconset, NY 11767-1090 | |
| (631) 418-8069 | |
| (631) 656-0470 |
| Full Name | Dr Justin Michael Waryold |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 59 Southern Blvd, Nesconset, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619148327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 304954 (New York) | Primary |
| 163W00000X | Registered Nurse | 542942 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Hauppauge, NY | Home health agency |
| Vns & Hospice Of Suffolk Inc Chha | Northport, NY | Home health agency |
| Catholic Home Care | Farmingdale, NY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Brook Internists University Faculty Practice Corporation | 9133019821 | 427 |
| Entity Name | Stony Brook Internists University Faculty Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Michael Waryold, DNP, NP-C 45 Research Way Ste 105, East Setauket, NY 11733-6401 Ph: (631) 675-2125 | Dr Justin Michael Waryold, DNP, NP-C 59 Southern Blvd, Nesconset, NY 11767-1090 Ph: (631) 418-8069 |
Ms. Stacy Lynne Heuschneider, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 48 Locust Drive, Nesconset, NY 11767 Phone: 631-724-5692 |
Breanna Angela Lopez, DNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 Southern Blvd, Nesconset, NY 11767 Phone: 631-418-8069 |
Mrs. Lori Weber, NPRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 Southern Blvd, Nesconset, NY 11767 Phone: 631-659-1700 Fax: 631-659-1743 |
Mr. Matthew Mattone, MS,APRN,BC-ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Southern Blvd, Nesconset, NY 11767 Phone: 631-361-8800 Fax: 631-366-3462 |
Laura Ann Levinsky, NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Nottingham Ct, Nesconset, NY 11767 Phone: 631-406-7398 |
Mr. Michael Lawrence Schwartz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 Southern Blvd, Nesconset, NY 11767 Phone: 631-418-8069 |
Eric Lehnert, ATC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Southern Blvd, Nesconset, NY 11767 Phone: 631-361-3363 Fax: 631-361-3579 |