Individual provider Active NPI

Lynda Varlotta-Geraci, DO

  • Family Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1336157288
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
230191 Issued in NY
Practice address
1501 Stony Brook Rd
Stony Brook, NY 11790-2212
Phone
(631) 689-2846
Fax
(631) 689-2846
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 230191 NY Primary

Addresses

Primary practice location

1501 Stony Brook Rd
Stony Brook, NY 11790-2212

Mailing address

1501 Stony Brook Rd
Stony Brook, NY 11790-2212
Phone (631) 689-2846

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000843 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6204823388 Reassigns benefits to 1 organization
Practice locations: Stony Brook, NY

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1501 Stony Brook Rd
Stony Brook, NY 11790-2212
Phone (631) 689-2846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
230191NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
In Touch With Your Health Medical PC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1336157288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902212",
            "telephone_number": "631-689-2846",
            "fax_number": "631-689-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902212",
            "telephone_number": "631-689-2846",
            "fax_number": "631-689-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARLOTTA-GERACI",
        "first_name": "LYNDA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.