| Jay B Stambler MD Medical PC | |
|
450 Waverly Avenue Bld 3 Ste 1 Patchogue NY 11772-1555 | |
| (631) 438-0333 | |
| (631) 438-0337 |
| Full Name | Jay B Stambler MD Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 Waverly Avenue Bld 3 Ste 1, Patchogue, New York |
| Authorized Official Name and Position | Jay B Stambler (PRESIDENT) |
| Authorized Official Contact | 6314380333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay B Stambler MD Medical PC 450 Waverly Avenue Bld 3 Ste 1 Patchogue NY 11772-1555 Ph: (631) 438-0333 | Jay B Stambler MD Medical PC 450 Waverly Avenue Bld 3 Ste 1 Patchogue NY 11772-1555 Ph: (631) 438-0333 |
| NPI Number | 1841776952 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 07/25/2019 |
| Medicare PECOS PAC ID | 7113279795 |
|---|---|
| Medicare Enrollment ID | O20181009003085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841776952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 135486 (New York) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | 135486 (New York) | Secondary |
| Provider Name | Shahzad Zeb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891817953 PECOS PAC ID: 8921064783 Enrollment ID: I20041203000693 |
| Provider Name | Jay B Stambler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821029026 PECOS PAC ID: 3072652973 Enrollment ID: I20091207000445 |
| Provider Name | Jaiya S Rampersad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336312644 PECOS PAC ID: 4880883826 Enrollment ID: I20110106000887 |
| Provider Name | Gulbin Antapli-zeb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831600881 PECOS PAC ID: 0345581096 Enrollment ID: I20190408001385 |
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