Individual provider Active NPI

Filomena Buncke, PHD, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • South Setauket, NY
National Provider Identifier
1306911748
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F4003571 Issued in NY
Practice address
3771 Nesconset Hwy Ste 212
South Setauket, NY 11720-1154
Phone
(631) 689-5390
Fax
(631) 689-5395
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F4003571 NY Primary

Addresses

Primary practice location

3771 Nesconset Hwy Ste 212
South Setauket, NY 11720-1154

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 689-5390

Other identifiers 1

IdentifierTypeStateIssuer
01759535MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address filomena.buncke@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102001210 NY Practitioner - Nurse Practitioner 9335333491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 1997
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) 444-2990

169 Putnam Hall
South Campus
Stony Brook, NY 11794-8790
Phone (631) 632-8850

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F4003571NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Psychiatric Associates, University Faculty Practice Corpor CurrentSince Jul 27, 2020 Accepting new patients
Michael Chiarello NP Psychiatry PC Past Accepting new patients
Filomena Buncke, NP Psychiatry PC PastSince Jul 15, 2010 Accepting new patients

Locations

3771 Nesconset Hwy
Ste 212
South Setauket, NY 11720
Phone (631) 689-5433

169 Putnam Hall
Stony Brook, NY 11794
Phone (631) 632-8850

Networks

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

Interoperability endpoints

  • Direct secure messaging: filomena.buncke@sbcm.cernerdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1306911748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-689-5390",
            "fax_number": "631-689-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY STE 212",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201154",
            "telephone_number": "631-689-5390",
            "fax_number": "631-689-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCKE",
        "first_name": "FILOMENA",
        "credential": "PHD, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F4003571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01759535",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "filomena.buncke@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3771 Nesconset Hwy Ste 212",
            "city": "South Setauket",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117201154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

Verify at the official NPI Registry.