NPIMap

Organization Active NPI

Stony Brook Orthopaedic Associates, University Faculty Practice Corpor

  • Orthopaedic Surgery Physician
  • Stony Brook, NY
National Provider Identifier
1154377638
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR
Practice address
Suny @ Stony Brook
HSC, L18, RM 080
Stony Brook, NY 11794-0001
Phone
(631) 444-1478
NPI assigned
May 26, 2006
Last updated
Dec 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Dr. Lawrence Hurst, M.D.
Title
Chair Person
Phone
(631) 444-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

Suny @ Stony Brook
HSC, L18, RM 080
Stony Brook, NY 11794-0001

Mailing address

PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 444-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040313000223 NY Part B Supplier - Clinic/Group Practice 7810886231 Receives reassigned benefits from 56 practitioners
Practice locations: East Setauket, NY; Stony Brook, NY; Southampton, NY; Smithtown, NY; Riverhead, NY; Port Jefferson, NY; Mattituck, NY; Lake Grove, NY…
O20111118000404 NY DME Supplier - Physician - General Practice 7810886231 Practice locations: Lake Grove, NY

National Provider Directory

National Provider Directory

Locations

240B W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 728-7400

611 Old Willets Path
Hauppauge, NY 11788
Phone (631) 232-1583

4 Smith Haven Mall
Ste 103
Lake Grove, NY 11755

1500 Route 112
Bldg 2
Port Jefferson Station, NY 11776
Phone (631) 626-4737

100 Nicolls Rd
Rm 80
Stony Brook, NY 11794
Phone (631) 444-1535

100 Nicolls Rd
Rm 80T18
Stony Brook, NY 11794

101 Nicolls Rd
Rm 80
Stony Brook, NY 11794
Phone (631) 383-7828

Univ Hspl5
Rm 048
Stony Brook, NY 11794

5954 Route 25A
Wading River, NY 11792
Phone (631) 473-4263

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1154377638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNY @ STONY BROOK",
            "address_2": "HSC, L18, RM 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHAIR PERSON",
        "authorized_official_telephone_number": "631-444-1478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.