Stony Brook Urology, University Faculty Practice Corporation - Medicare Primary Care in East Setauket, NY

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Stony Brook Urology, University Faculty Practice Corporation is a medicare enrolled primary clinic (Urology) in East Setauket, New York. The current practice location for Stony Brook Urology, University Faculty Practice Corporation is 24 Research Way, Suite 500, East Setauket, New York. For appointments, you can reach them via phone at (631) 444-6270. The mailing address for Stony Brook Urology, University Faculty Practice Corporation is Po Box 1554, Stony Brook, New York and phone number is (631) 444-1252.

Stony Brook Urology, University Faculty Practice Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538114707. 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) 444-6270.

Contact Information

Stony Brook Urology, University Faculty Practice Corporation
24 Research Way
Suite 500
East Setauket
NY 11733-3487
(631) 444-6270
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameStony Brook Urology, University Faculty Practice Corporation
SpecialityUrology
Location24 Research Way, East Setauket, New York
Authorized Official Name and PositionWayne Waltzer (CHAIR PERSON)
Authorized Official Contact6314441252
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stony Brook Urology, University Faculty Practice Corporation
Po Box 1554
Stony Brook
NY 11790-0988

Ph: (631) 444-1252		Stony Brook Urology, University Faculty Practice Corporation
24 Research Way
Suite 500
East Setauket
NY 11733-3487

Ph: (631) 444-6270

NPI Details:

NPI Number1538114707
Provider Enumeration Date05/24/2006
Last Update Date06/20/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3577454008
Medicare Enrollment IDO20040323001255

Medical Identifiers

Medical identifiers for Stony Brook Urology, University Faculty Practice Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538114707NPI-NPPES
00778890MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
208800000XUrology (* (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 Urology, University Faculty Practice Corporation acts as a billing entity for following providers:
Provider NameAnne M Klassert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467448985
PECOS PAC ID: 2062407950
Enrollment ID: I20040419001630
Provider NameJeanne Marie Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669409769
PECOS PAC ID: 2163492521
Enrollment ID: I20040731000123
Provider NameFrank Sam Darras
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1750323069
PECOS PAC ID: 5890697544
Enrollment ID: I20041105000652
Provider NameWayne C Waltzer
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1497782189
PECOS PAC ID: 8325042849
Enrollment ID: I20070119000120
Provider NameFlorence P Christie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619903432
PECOS PAC ID: 3971682915
Enrollment ID: I20080502000203
Provider NameHoward L Adler
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1306872254
PECOS PAC ID: 3870637234
Enrollment ID: I20100223000509
Provider NameRobert J Wasnick
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1700820214
PECOS PAC ID: 1759302334
Enrollment ID: I20100302000028
Provider NameYefim R Sheynkin
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1164466462
PECOS PAC ID: 5698810224
Enrollment ID: I20100305000853
Provider NameDavid A Schulsinger
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1285661488
PECOS PAC ID: 9638206956
Enrollment ID: I20100419000457
Provider NameJason M Kim
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1275707846
PECOS PAC ID: 3577619634
Enrollment ID: I20110812000293
Provider NameDeborah Feliciano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649520370
PECOS PAC ID: 4486895059
Enrollment ID: I20130724000219
Provider NameMassimiliano Spaliviero
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1962522318
PECOS PAC ID: 5294954848
Enrollment ID: I20140915001412
Provider NameYvonne Kwok-lin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831351428
PECOS PAC ID: 6709197411
Enrollment ID: I20150623000573
Provider NameSteven J Weissbart
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1528202835
PECOS PAC ID: 5193010270
Enrollment ID: I20160829001670
Provider NameOlga Makrak-sturniolo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437603289
PECOS PAC ID: 1759679764
Enrollment ID: I20161006001614
Provider NameJean M Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043763386
PECOS PAC ID: 0143508796
Enrollment ID: I20161102000354
Provider NameErin N Henkes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447685847
PECOS PAC ID: 1052547932
Enrollment ID: I20170522000438
Provider NameSara L Urso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225504681
PECOS PAC ID: 9537403688
Enrollment ID: I20181130001854
Provider NameMary Ann A Almonte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104392455
PECOS PAC ID: 2567708183
Enrollment ID: I20190117003187
Provider NameMalissa M Aponte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750942884
PECOS PAC ID: 0244669992
Enrollment ID: I20200401002469
Provider NameRachel B Davis
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1740622422
PECOS PAC ID: 5395171912
Enrollment ID: I20200915003601
Provider NameWilliam Berg
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1184068520
PECOS PAC ID: 5496088015
Enrollment ID: I20201002002555
Provider NameRichard Ortega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790371607
PECOS PAC ID: 3476952284
Enrollment ID: I20210527002595
Provider NameGauthami R Churukanti
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1962763219
PECOS PAC ID: 6406155548
Enrollment ID: I20210708000958
Provider NameAdam Michael Kressel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1093134439
PECOS PAC ID: 7810378866
Enrollment ID: I20220721002372
Provider NameMichael L Ernst
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1386039378
PECOS PAC ID: 5698010015
Enrollment ID: I20220913000808
Provider NameJustina Tam
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1073932521
PECOS PAC ID: 8325375009
Enrollment ID: I20220929002427
Provider NameMeagan R Hartough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982306973
PECOS PAC ID: 7315306669
Enrollment ID: I20230705000141
Provider NameMichael Hung
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1346774809
PECOS PAC ID: 1456715002
Enrollment ID: I20230914002312
Provider NameAntonia M Pinto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528887544
PECOS PAC ID: 3779011903
Enrollment ID: I20250115001779

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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.