Same - Medicare Primary Care in Mattituck, NY

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Same is a medicare enrolled primary clinic (Internal Medicine) in Mattituck, New York. The current practice location for Same is 13400 Main Rd, Mattituck, New York. For appointments, you can reach them via phone at (631) 298-4008. The mailing address for Same is 13400 Main Rd, Po Box 1619, Mattituck, New York and phone number is (631) 298-4479.

Same is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487620613. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 298-4008.

Contact Information

Same
13400 Main Rd
Mattituck
NY 11952-3209
(631) 298-4008
(631) 298-5969

Map and Direction


Primary Care Clinic Profile

Full NameSame
SpecialityInternal Medicine
Location13400 Main Rd, Mattituck, New York
Authorized Official Name and PositionRichard Kubiak (PRESIDENT)
Authorized Official Contact6315486000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Same
13400 Main Rd
Po Box 1619
Mattituck
NY 11952-3209

Ph: (631) 298-4479		Same
13400 Main Rd
Mattituck
NY 11952-3209

Ph: (631) 298-4008

NPI Details:

NPI Number1487620613
Provider Enumeration Date02/27/2006
Last Update Date07/07/2008

Medicare PECOS Information:

Medicare PECOS PAC ID7113817602
Medicare Enrollment IDO20040318000260

Medical Identifiers

Medical identifiers for Same such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487620613NPI-NPPES
01714209MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Same acts as a billing entity for following providers:
Provider NameJohn V Celentano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558445478
PECOS PAC ID: 7012808975
Enrollment ID: I20040322001133
Provider NameEvan C Nadal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619946548
PECOS PAC ID: 6103810544
Enrollment ID: I20040409000239
Provider NameJennifer O Neill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326147703
PECOS PAC ID: 3779574363
Enrollment ID: I20040521000793
Provider NameDavid Prentiss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407852940
PECOS PAC ID: 5890787980
Enrollment ID: I20040527000544
Provider NameCynthia S Cichanowicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194892224
PECOS PAC ID: 5597747253
Enrollment ID: I20040605000048
Provider NameLouis Romeo
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922049089
PECOS PAC ID: 7719960673
Enrollment ID: I20040610001568
Provider NameEric Shoenfeld
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902984115
PECOS PAC ID: 9335105634
Enrollment ID: I20041208000728
Provider NameVincent J Leone
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1487667739
PECOS PAC ID: 2466410089
Enrollment ID: I20041229000770
Provider NameAgostino Cervone
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841206018
PECOS PAC ID: 3476591454
Enrollment ID: I20050421000514
Provider NamePeter G Sultan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1346299500
PECOS PAC ID: 1153348198
Enrollment ID: I20051028000311
Provider NameNathalie B Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467571067
PECOS PAC ID: 3779592035
Enrollment ID: I20060413000527
Provider NameBrian K Mcnulty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528047271
PECOS PAC ID: 8022111640
Enrollment ID: I20070319000630
Provider NameStephen P Ouzounian
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1386615243
PECOS PAC ID: 5890886493
Enrollment ID: I20070811000021
Provider NameBrett E Ruffo
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1477758274
PECOS PAC ID: 5193817906
Enrollment ID: I20070824000457
Provider NameFang C Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255455689
PECOS PAC ID: 2466541578
Enrollment ID: I20071127000570
Provider NameBlaise Napolitano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033318449
PECOS PAC ID: 0042309619
Enrollment ID: I20071204000770
Provider NameLuigi Buono
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609816909
PECOS PAC ID: 1456439660
Enrollment ID: I20080428000595
Provider NameCynthia Carlson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760449615
PECOS PAC ID: 9032298161
Enrollment ID: I20080430000799
Provider NameBarbara J Farrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043406424
PECOS PAC ID: 4486724804
Enrollment ID: I20080528000333
Provider NameRichard Kubiak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326014556
PECOS PAC ID: 8921032517
Enrollment ID: I20081204000959
Provider NameManish Chadha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992903264
PECOS PAC ID: 1254428626
Enrollment ID: I20090206000565
Provider NameBogdan Makartchuk
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1982812756
PECOS PAC ID: 2567529142
Enrollment ID: I20090326000071
Provider NameMarc Puchir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134132095
PECOS PAC ID: 7719029388
Enrollment ID: I20100120000105
Provider NameSteven Spiegel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275509424
PECOS PAC ID: 4981746997
Enrollment ID: I20100128000365
Provider NameRobert D Rubin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821282054
PECOS PAC ID: 9739223603
Enrollment ID: I20100216000139
Provider NameMichael Ciminiello
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528272648
PECOS PAC ID: 7618000670
Enrollment ID: I20100728000870
Provider NameChristine M O Donoghue-kitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306039482
PECOS PAC ID: 2264614163
Enrollment ID: I20110315000107
Provider NameDavid Angelillo
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497959464
PECOS PAC ID: 7618150699
Enrollment ID: I20110329000646
Provider NameDenise F Dambrosia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558509828
PECOS PAC ID: 6901076496
Enrollment ID: I20110818000601
Provider NameAmy B Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104158088
PECOS PAC ID: 3173790565
Enrollment ID: I20120126000228
Provider NameGuirlaine Blot-sanon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588818504
PECOS PAC ID: 0446417018
Enrollment ID: I20120209000291
Provider NameHeidemarie Grattan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427382456
PECOS PAC ID: 2163680463
Enrollment ID: I20120215000791
Provider NameMaureen Jean Ruga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255645347
PECOS PAC ID: 7618125279
Enrollment ID: I20120924000759
Provider NameDonna M Baas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508171646
PECOS PAC ID: 7618120478
Enrollment ID: I20130104000174
Provider NameJames L Earl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780938373
PECOS PAC ID: 4789820127
Enrollment ID: I20130409000621
Provider NameJanice Np Mcintyre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366757411
PECOS PAC ID: 7416124151
Enrollment ID: I20140521001730
Provider NameNazir A Lone
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1912053307
PECOS PAC ID: 4981831682
Enrollment ID: I20141020002472
Provider NameChristina Zaccara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760672992
PECOS PAC ID: 4082925821
Enrollment ID: I20150619000362
Provider NameJulie Vinod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861897621
PECOS PAC ID: 2062723638
Enrollment ID: I20150623002688
Provider NameJean Ann Swartz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043356744
PECOS PAC ID: 1951522655
Enrollment ID: I20151229001467
Provider NameSara A Cerrone
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1043585276
PECOS PAC ID: 6901108885
Enrollment ID: I20160108002022
Provider NameJoan Becht
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568770238
PECOS PAC ID: 4880987973
Enrollment ID: I20160727001189
Provider NameJeffrey Tiu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962840207
PECOS PAC ID: 1456649763
Enrollment ID: I20161019000300
Provider NameJesse R Eisenberg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982044202
PECOS PAC ID: 4082986807
Enrollment ID: I20170814002830
Provider NameDenis J Nankervis
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1205111655
PECOS PAC ID: 5395017453
Enrollment ID: I20170824000333
Provider NameDarya Sterling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376958850
PECOS PAC ID: 4183997802
Enrollment ID: I20170831001531
Provider NameVictor Olujimi
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104069160
PECOS PAC ID: 6507130085
Enrollment ID: I20170921002852
Provider NameKristin S Gordon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215242326
PECOS PAC ID: 0840588562
Enrollment ID: I20180503002241
Provider NameTanzia A Chowdhury
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194111708
PECOS PAC ID: 6709141070
Enrollment ID: I20180607002753
Provider NameJaclyn A Farino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518486877
PECOS PAC ID: 8628324126
Enrollment ID: I20180712001914
Provider NameJeselle Dookran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174910483
PECOS PAC ID: 8527316587
Enrollment ID: I20180807003520
Provider NameMichael Minjun Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891172722
PECOS PAC ID: 1254689276
Enrollment ID: I20180808001681
Provider NameDaniel M Shapiro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407324478
PECOS PAC ID: 6204173818
Enrollment ID: I20190121000434
Provider NameNicole C Prianti
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871853473
PECOS PAC ID: 9739421660
Enrollment ID: I20190425000651
Provider NameJanet L Baldasare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861512485
PECOS PAC ID: 3274876743
Enrollment ID: I20190524000794
Provider NameKimberly Britt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245210178
PECOS PAC ID: 1951335363
Enrollment ID: I20190613001707
Provider NameKristen M Sochol
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1649697004
PECOS PAC ID: 7618205295
Enrollment ID: I20200710001754
Provider NameCean Mahmud
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285165134
PECOS PAC ID: 2961748090
Enrollment ID: I20200911002596
Provider NameLindsey Semprini
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639529696
PECOS PAC ID: 5496092371
Enrollment ID: I20201113002648
Provider NameRohit Navlani
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1245693928
PECOS PAC ID: 4385927334
Enrollment ID: I20210527002847
Provider NameChristopher Blum
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1659735686
PECOS PAC ID: 9234539008
Enrollment ID: I20210616000373
Provider NameJosephine M Champlin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851888770
PECOS PAC ID: 8224382593
Enrollment ID: I20210715002559
Provider NameAmar Vyas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205323359
PECOS PAC ID: 3577817253
Enrollment ID: I20220819001664
Provider NameChristopher Fecek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194388124
PECOS PAC ID: 5294061792
Enrollment ID: I20220831000574
Provider NameKimberly Duffy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649731324
PECOS PAC ID: 2769866870
Enrollment ID: I20220908000941
Provider NameStephanie West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073247037
PECOS PAC ID: 5991172371
Enrollment ID: I20221028001180
Provider NameRoni Aoun
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1679147201
PECOS PAC ID: 5193193894
Enrollment ID: I20221201000280
Provider NameLauren Mclachlan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164792248
PECOS PAC ID: 9133599574
Enrollment ID: I20221230000112
Provider NameDevashree Parmar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831716109
PECOS PAC ID: 7315393857
Enrollment ID: I20231019002827
Provider NameKarina Appel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184250151
PECOS PAC ID: 3779939111
Enrollment ID: I20231021000237
Provider NameKenisha Dania Atwell
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1508244385
PECOS PAC ID: 9830571637
Enrollment ID: I20231026004040
Provider NameUsman K Naqvi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1225483092
PECOS PAC ID: 2860737079
Enrollment ID: I20240119002718

Reviews and Comments


Internal Medicine in Mattituck, NY

Mattituck Family Medicine Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7555 Main Rd, Mattituck, NY 11952
Phone: 631-298-1678    Fax: 631-298-1679

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.