STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION (NPI# 1538114707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538114707 |
| Entity Type | Organization |
| Organization Name | STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION |
| Practice Address |
24 Research Way Suite 500 East Setauket NY 11733-3487 |
| Mailing Address |
Po Box 1554 Stony Brook NY 11790-0988 |
| Practice Telephone | 6314446270 |
| Mailing Telephone | 6314441252 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | WAYNE WALTZER (CHAIR PERSON) |
| Authorized Official Telephone | 6314441252 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00778890 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION | Health Sciences Ctr L5 Rm 048, Stony Brook University, Stony Brook, New York 11794 |
| Street Address |
24 RESEARCH WAY SUITE 500 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124093018 | Comprehensive Mri of New York, P.C. | Radiology | 24 Research Way, East Setauket, NY 11733-3453 | 2006-02-22 |
| 1447685847 | Erin Compton Henkes | Nurse Practitioner | 24 Research Way, #500, East Setauket, NY 11733-3487 | 2013-09-05 |
| 1649520370 | Deborah Feliciano | Nurse Practitioner | 24 Research Way, Suite 500, East Setauket, NY 11733-3487 | 2012-09-10 |
| 1023373230 | David L Peters | Urology | 24 Research Way, East Setauket, NY 11733-3487 | 2012-07-13 |
| 1154654499 | Caryle Ann Francis | Physician Assistant | 24 Research Way, East Setauket, NY 11733 | 2009-09-17 |
| 1912131749 | John P. Fitzgerald | Urology | 24 Research Way, Suite 500, East Setauket, NY 11733-3487 | 2009-05-07 |
| 1487802799 | Elizabeth Ann Ryan | Nurse Practitioner | 24 Research Way, East Setauket, NY 11733-3487 | 2008-08-29 |
| 1427204536 | Jillian Marie Fratepietro | Registered Nurse | 24 Research Way, Suite 500, East Setauket, NY 11733-3487 | 2008-08-09 |
| 1659546992 | Mark A Gelfand | Plastic Surgery | 24 Research Way, East Setauket, NY 11733-3487 | 2008-04-28 |
| 1215950910 | Jason C Ganz | Plastic Surgery | 24 Research Way, East Setauket, NY 11733-3487 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023286432 | Turhan Ilkay Md & Altan Ilkay Md, LLP | Urology | 3400 Nesconset Hwy Ste 106, East Setauket, NY 11733-3327 | 2008-02-19 |
| 1710062351 | Matthew Petersen | Urology | 24 Research Way, Suite 500, East Setauket, NY 11733 | 2006-10-25 |
| 1023047891 | Metropolitan Urological Specialist PC | Urology | 14 Technology Drive, East Setauket, NY 11733 | 2006-07-02 |
| 1023373230 | David L Peters | Urology | 24 Research Way, East Setauket, NY 11733-3487 | 2012-07-13 |
| 1912131749 | John P. Fitzgerald | Urology | 24 Research Way, Suite 500, East Setauket, NY 11733-3487 | 2009-05-07 |
| 1316007578 | Turhan Ahmet Ilkay | Urology | 3400 Nesconset Hwy, Technology Dr., Suite 106, East Setauket, NY 11733-3327 | 2006-12-11 |
| 1578623724 | Altan Kadri Ilkay | Urology | 3400 Nesconset Hwy, Technology Dr, Suite 106, East Setauket, NY 11733-3327 | 2006-12-11 |
| 1710916655 | Metropolitan Lithotriptor Associates, PC | Urology | 14 Technology Drive, East Setauket, NY 11733 | 2006-07-02 |
| 1497782189 | Wayne Waltzer | Urology | 24 Research Way, Suite 500, East Setauket, NY 11733-3453 | 2006-06-27 |
| 1285661488 | David Schulsinger | Urology | 24 Research Way, Suite 500, East Setauket, NY 11733-3453 | 2006-06-26 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.