Sebastian Wernecke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

030873 Issued in NY

Practice address

45 Research Way Ste 108
East Setauket, NY 11733-6401

Phone

(631) 941-2000

NPI assigned

Oct 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Queens Doctors

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1477932275
  Medicare reassignment

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1346022142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103E MAIN STREET",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117776401",
            "telephone_number": "704-244-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESEARCH WAY STE 108",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336401",
            "telephone_number": "631-941-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNECKE",
        "first_name": "SEBASTIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Weiss-Burns, MS
• Brianne Marie Weiss, PHARMD
• Lee Weiss, M.D.
• Sarah Brown Weissbart, MD
• Glenn Thomas Werneburg, MD, PHD
• William Wertheim, M.D.
• Jerome M Wexler, R.PH.
• White Crane Acupuncture, P. C. (Natural Approach Healthcare)
• Patrice White
• Katherine Wightman, M.D.

• Physician Assistant in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.