Individual provider Active NPI

Margarita Jurak, M.D.

  • Obstetrics & Gynecology Physician
  • West Islip, NY
National Provider Identifier
1093907297
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
245617 Issued in NY
Practice address
320 Montauk Hwy
South Bay OB/GYN, P.C.
West Islip, NY 11795-4401
Phone
(631) 587-2500
Fax
(631) 587-0292
NPI assigned
Aug 13, 2007
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 245617 NY Primary

Addresses

Primary practice location

320 Montauk Hwy
South Bay OB/GYN, P.C.
West Islip, NY 11795-4401

Mailing address

45 Research Way
University Associates OBGYN
East Setauket, NY 11733-6401
Phone (631) 615-8279

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address margarita.jurak@sbcm.cernerdirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000576 NY Practitioner - Obstetrics/Gynecology 5193999373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-4686

Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical Center Current Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Obstetrics & Gynecology CurrentSince May 1, 2014 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Mar 10, 2024 Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

320 Montauk Hwy
West Islip, NY 11795
Phone (360) 514-9060

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: margarita.jurak@sbcm.cernerdirect.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1093907297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESEARCH WAY",
            "address_2": "UNIVERSITY ASSOCIATES OBGYN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336401",
            "telephone_number": "631-615-8279",
            "fax_number": "631-350-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MONTAUK HWY",
            "address_2": "SOUTH BAY OB/GYN, P.C.",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954401",
            "telephone_number": "631-587-2500",
            "fax_number": "631-587-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURAK",
        "first_name": "MARGARITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "245617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "margarita.jurak@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "320 Montauk Hwy",
            "address_2": "South Bay OB/GYN, P.C.",
            "city": "West Islip",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117954401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.