Stony Brook Family And Preventive Medicine, University Faculty Practic - Medicare Primary Care in Stony Brook, NY

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Stony Brook Family And Preventive Medicine, University Faculty Practic is a medicare enrolled primary clinic (Family Medicine) in Stony Brook, New York. The current practice location for Stony Brook Family And Preventive Medicine, University Faculty Practic is Suny @ Stony Brook, Hsc, L4, Rm 050, Stony Brook, New York. For appointments, you can reach them via phone at (631) 444-2306. The mailing address for Stony Brook Family And Preventive Medicine, University Faculty Practic is Po Box 1554, Stony Brook, New York and phone number is (631) 444-2306.

Stony Brook Family And Preventive Medicine, University Faculty Practic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982659470. 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) 444-2306.

Contact Information

Stony Brook Family And Preventive Medicine, University Faculty Practic
Suny @ Stony Brook
Hsc, L4, Rm 050
Stony Brook
NY 11794-0001
(631) 444-2306
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameStony Brook Family And Preventive Medicine, University Faculty Practic
SpecialityFamily Medicine
LocationSuny @ Stony Brook, Stony Brook, New York
Authorized Official Name and PositionIris A Granek (CHAIRPERSON)
Authorized Official Contact6314442306
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stony Brook Family And Preventive Medicine, University Faculty Practic
Po Box 1554
Stony Brook
NY 11790-0988

Ph: (631) 444-2306		Stony Brook Family And Preventive Medicine, University Faculty Practic
Suny @ Stony Brook
Hsc, L4, Rm 050
Stony Brook
NY 11794-0001

Ph: (631) 444-2306

NPI Details:

NPI Number1982659470
Provider Enumeration Date05/23/2006
Last Update Date01/24/2017

Medicare PECOS Information:

Medicare PECOS PAC ID7113816273
Medicare Enrollment IDO20040315000903

Medical Identifiers

Medical identifiers for Stony Brook Family And Preventive Medicine, University Faculty Practic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982659470NPI-NPPES
00549880MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily 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. Stony Brook Family And Preventive Medicine, University Faculty Practic acts as a billing entity for following providers:
Provider NameRobert A Schwaner
Provider TypePractitioner - Medical Toxicology
Provider IdentifiersNPI Number: 1902959794
PECOS PAC ID: 3779475124
Enrollment ID: I20040329001278
Provider NameKevin J Schiller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710901921
PECOS PAC ID: 4486648805
Enrollment ID: I20040409000089
Provider NameVivica D Vollmer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073558995
PECOS PAC ID: 5092793638
Enrollment ID: I20040710000217
Provider NameAni A Bodoutchian
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508807447
PECOS PAC ID: 9133163348
Enrollment ID: I20050617000266
Provider NameRaja A Jaber
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417999764
PECOS PAC ID: 8224038609
Enrollment ID: I20070109000277
Provider NameSultana Y Rahman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386601359
PECOS PAC ID: 4880798206
Enrollment ID: I20070324000018
Provider NameKathleen H Scarbrough
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1417057308
PECOS PAC ID: 7113067133
Enrollment ID: I20091222000493
Provider NameDonna I Meltzer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144258500
PECOS PAC ID: 1355478538
Enrollment ID: I20100420000381
Provider NameHoward R Sussman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497799571
PECOS PAC ID: 3476556655
Enrollment ID: I20100420000642
Provider NameGerald Kelly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659308492
PECOS PAC ID: 9931102118
Enrollment ID: I20100421000571
Provider NameJedan Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659317956
PECOS PAC ID: 7416084413
Enrollment ID: I20100423000010
Provider NameRichard V Murdocco
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841234093
PECOS PAC ID: 0143357152
Enrollment ID: I20100423000028
Provider NameSusan Debevoise
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144258591
PECOS PAC ID: 8527195452
Enrollment ID: I20100423000360
Provider NameKatherine G Wightman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467489880
PECOS PAC ID: 1456488394
Enrollment ID: I20100423000475
Provider NameJosephine Connolly-schoonen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1265476204
PECOS PAC ID: 4688701527
Enrollment ID: I20100423000542
Provider NameLorraine Danowski
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1043251085
PECOS PAC ID: 8224165170
Enrollment ID: I20100423000656
Provider NameRobert Bobrow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548204613
PECOS PAC ID: 9234266917
Enrollment ID: I20100429000131
Provider NameJarid S Pachter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750514022
PECOS PAC ID: 7315077294
Enrollment ID: I20100621000238
Provider NameLovedhi Aggarwal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760668933
PECOS PAC ID: 3678627569
Enrollment ID: I20110104000779
Provider NameAllen Lawrence Fein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881672533
PECOS PAC ID: 8820279367
Enrollment ID: I20110216001046
Provider NameJeanine M Morelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447354659
PECOS PAC ID: 1153503677
Enrollment ID: I20110304000378
Provider NameMohammad A Hamdani
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902125586
PECOS PAC ID: 1951535996
Enrollment ID: I20131007001472
Provider NameGhazal Sinha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356661649
PECOS PAC ID: 4688992068
Enrollment ID: I20150415000796
Provider NameKamalpreet S Buttar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669760419
PECOS PAC ID: 6800102567
Enrollment ID: I20150826002308
Provider NameDanielle Bellucci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144655432
PECOS PAC ID: 2567763766
Enrollment ID: I20151211002052
Provider NameAmanda Pero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306151378
PECOS PAC ID: 3274835392
Enrollment ID: I20160106002806
Provider NameFarah Haq
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1609163872
PECOS PAC ID: 2769773225
Enrollment ID: I20160614001535
Provider NameSarah A Cheek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457761959
PECOS PAC ID: 0143592253
Enrollment ID: I20170824002183
Provider NameHyunjoo Lee
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740607068
PECOS PAC ID: 3971874892
Enrollment ID: I20180629001931
Provider NameYuri T Jadotte
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1770800674
PECOS PAC ID: 3375899966
Enrollment ID: I20180712001405
Provider NameKimberly P Barnaby
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952783045
PECOS PAC ID: 3678827458
Enrollment ID: I20181114000981
Provider NamePeter J Mckenna
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275980104
PECOS PAC ID: 3375884489
Enrollment ID: I20190703000469
Provider NameLauren M Maloney
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003263997
PECOS PAC ID: 8729329826
Enrollment ID: I20190716002738
Provider NameMelissa M Feraca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982263091
PECOS PAC ID: 7214264977
Enrollment ID: I20190805000542
Provider NameArie P Francis
Provider TypePractitioner - Medical Toxicology
Provider IdentifiersNPI Number: 1396123576
PECOS PAC ID: 5597019570
Enrollment ID: I20200723002755
Provider NameSritha R Rajupet
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285991596
PECOS PAC ID: 2668743733
Enrollment ID: I20200831000133
Provider NameKelly A O'toole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033710009
PECOS PAC ID: 8123433323
Enrollment ID: I20210222001402
Provider NameMaryta J Marzano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306499637
PECOS PAC ID: 4385051796
Enrollment ID: I20210401000333
Provider NameMatthew V Tanzi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912401142
PECOS PAC ID: 2860729514
Enrollment ID: I20210519002782
Provider NameMariam M Kirvalidze
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508353517
PECOS PAC ID: 1355695966
Enrollment ID: I20210630001365
Provider NameAstha Muttreja
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710364005
PECOS PAC ID: 8022345792
Enrollment ID: I20220519001975
Provider NameErin I Duffy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497215669
PECOS PAC ID: 4082010020
Enrollment ID: I20220622001645
Provider NameMichael R Epifania
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548720030
PECOS PAC ID: 1850775768
Enrollment ID: I20220826000235
Provider NameSally Anne J Rexach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609123959
PECOS PAC ID: 7012380603
Enrollment ID: I20230301002036
Provider NameJake A Hunter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467080770
PECOS PAC ID: 2365897451
Enrollment ID: I20231010001040
Provider NameKimberly A Hsu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497382287
PECOS PAC ID: 4789001157
Enrollment ID: I20231019002618
Provider NameSusan A Rashidzada
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174100028
PECOS PAC ID: 5395284632
Enrollment ID: I20240829003972
Provider NameJason S Shinners
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568082691
PECOS PAC ID: 5294180196
Enrollment ID: I20240910004283

Reviews and Comments


Family Medicine in Stony Brook, NY

Stonybrook University Student Health Service
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1 Stadium Rd, Stony Brook, NY 11794
Phone: 631-632-6740    Fax: 631-632-6936
Bassam Hossain Do Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 8 Mosshill Pl, Stony Brook, NY 11790
Phone: 516-838-9955    
State Of New York Comptrollers Office
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1 Stadium Rd, Stony Brook, NY 11794
Phone: 631-632-6804    Fax: 631-632-6936
Stony Brook Internists, University Faculty Practice Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794
Phone: 631-444-2448    
Stony Brook Internists, University Faculty Practice Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794
Phone: 631-444-2448    
Sound Endocrinology Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Nesconset Hwy, Bldg. 3c, Stony Brook, NY 11790
Phone: 631-751-2400    Fax: 631-751-8323
Stony Brook Internists, University Faculty Practice Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794
Phone: 631-444-2448    

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.