Organization Active NPI

Setauket Surgery, PC

  • Surgery Physician
  • East Setauket, NY
National Provider Identifier
1104287432
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
221306 Issued in NY
Legal business name
SETAUKET SURGERY, PC
Practice address
4 Technology Dr
Suite 220
East Setauket, NY 11733-4080
Phone
(631) 476-9296
Fax
(631) 476-9298
NPI assigned
Mar 15, 2016
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Ana Araujo
Title
Practice Manager
Phone
(631) 476-9296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 221306 NY Primary

Addresses

Primary practice location

4 Technology Dr
Suite 220
East Setauket, NY 11733-4080

Mailing address

4 Technology Dr Ste 220
East Setauket, NY 11733-4085
Phone (631) 476-9296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160607002414 NY Part B Supplier - Clinic/Group Practice 5294025003 Receives reassigned benefits from 1 practitioner
Practice locations: East Setauket, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1104287432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR STE 220",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334085",
            "telephone_number": "631-476-9296",
            "fax_number": "631-476-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 220",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334080",
            "telephone_number": "631-476-9296",
            "fax_number": "631-476-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETAUKET SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "ARAUJO",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "631-476-9296"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "221306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.