Individual provider Active NPI

Robert Jake Stone, NP

  • Adult Health Nurse Practitioner
  • East Patchogue, NY
National Provider Identifier
1033830799
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310827 Issued in NY
Practice address
286 Patchogue Yaphank Rd
East Patchogue, NY 11772-4861
Phone
(631) 792-6167
NPI assigned
Sep 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310827 NY Primary

Addresses

Primary practice location

286 Patchogue Yaphank Rd
East Patchogue, NY 11772-4861

Mailing address

179 Harrisburg St
Bay Shore, NY 11706-4732
Phone (631) 374-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329002499 NY Practitioner - Nurse Practitioner 9739527508 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310827NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Ocean Medical Group P.C. CurrentSince Jan 24, 2024 Accepting new patients
NK Medical PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

286 Patchogue Yaphank Rd
East Patchogue, NY 11772
Phone (516) 395-9793

152 N Ocean Ave
Patchogue, NY 11772
Phone (631) 730-1189

2 Coraci Blvd
Ste 11
Shirley, NY 11967
Phone (516) 395-9793

129 Main St
Unit 1625
Stony Brook, NY 11790

Interoperability endpoints

  • Direct secure messaging: rstone505587@nyumc.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1033830799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HARRISBURG ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064732",
            "telephone_number": "631-374-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724861",
            "telephone_number": "631-792-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "ROBERT",
        "middle_name": "JAKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.