Active NPI
Thomas Joseph Pettei, M.D.
- Cardiovascular Disease Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 271062
- Practice address
- 45 Research Way Ste 108
Stony Brook Internists
East Setauket, NY 11733-6401 - Phone
- (631) 941-2000
- Fax
- (631) 941-2010
- NPI assigned
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 271062 | NY | Primary |
Addresses
Primary practice location
45 Research Way Ste 108
Stony Brook Internists
East Setauket, NY 11733-6401
Mailing address
45 Research Way Ste 105
Stony Brook Internists
East Setauket, NY 11733-6401
Phone (631) 675-2125
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 378-6148
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Symphony Medical PC | Current | Accepting new patients | |
| Zwanger & Pesiri Radiology Group, LLP | Current | Accepting new patients | |
| Montefiore Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Symphony Medical PC | Current | Accepting new patients | |
| Stony Brook Gynecology & Obstetrics, P.C. | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4256 Bronx Blvd
Ste 5
Bronx, NY 10466
Phone (718) 655-9111
23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693
150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757
150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757
126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614
20 Cedar St
New Rochelle, NY 10801
Phone (914) 576-5292
967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
- thpettei@montefioredirect.com
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Dobbs Ferry, NY
- NPI 1659787653
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1477523413
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Orthopaedic Surgery Physician
- Dobbs Ferry, NY
- NPI 1023600327
-
- Obstetrics & Gynecology Physician
- Setauket, NY
- NPI 1770550477
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- General Acute Care Hospital
- New Rochelle, NY
- NPI 1720414154
-
dba White Plains Hospital Center
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1184944456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY STE 105",
"address_2": "STONY BROOK INTERNISTS",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-675-2125",
"fax_number": "631-675-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY STE 108",
"address_2": "STONY BROOK INTERNISTS",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-941-2000",
"fax_number": "631-941-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTEI",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "271062",
"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 Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.