Active NPI
Edin Delimustafic, RPA-C
- Physician Assistant
- Stony Brook, NY
National Provider Identifier
1245576016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016275-1
- Practice address
- 101 Nicholls Road HSC Level 3
Stony Brook, NY 11794-8036 - Phone
- (631) 444-2198
- NPI assigned
- Dec 21, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016275-1 | NY | Primary |
Addresses
Primary practice location
101 Nicholls Road HSC Level 3
Stony Brook, NY 11794-8036
Mailing address
101 Nicholls Road HSC Level 3
Stony Brook, NY 11794-8036
Phone (631) 444-2198
Other practice location 1
495 Flatbush Ave Ste 5C
Brooklyn, NY 11225-3706
Phone (917) 540-6252
Other practice location 2
175 E Main St
Huntington, NY 11743-2939
Phone (631) 423-0053
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5858
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-5858
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016275-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Associates, PC | Current | Accepting new patients |
Locations
5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910
21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1982659470
-
- Internal Medicine Physician
- Oakland Gardens, NY
- NPI 1619188489
-
- Internal Medicine Physician
- Selden, NY
- NPI 1134658693
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1245576016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICHOLLS ROAD HSC LEVEL 3",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948036",
"telephone_number": "631-444-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NICHOLLS ROAD HSC LEVEL 3",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948036",
"telephone_number": "631-444-2198"
}
],
"practiceLocations": [
{
"address_1": "495 Flatbush Ave Ste 5C",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112253706",
"country_code": "US",
"telephone_number": "917-540-6252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 E Main St",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "NY",
"postal_code": "117432939",
"country_code": "US",
"telephone_number": "631-423-0053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELIMUSTAFIC",
"first_name": "EDIN",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-21",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "016275-1",
"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 Jan 29, 2025; 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.