Setauket Medical, PC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

SETAUKET MEDICAL, PC

Practice address

4 Technology Dr
Suite 220
East Setauket, NY 11733-4080

Phone

(631) 964-9581

Fax

(631) 476-9298

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Hesham M Atwa, M.D.

Title

Owner

Phone

(631) 476-9296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen M Barr, DO

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1669561940
  Medicare reassignment NPD

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1346774122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 220",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334080",
            "telephone_number": "631-964-9581",
            "fax_number": "631-476-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 220",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334080",
            "telephone_number": "631-964-9581",
            "fax_number": "631-476-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETAUKET MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "ATWA",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-476-9296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Setauket Li Acupuncture PC
• Setauket Li Acupuncture PC
• Setauket Licensed Clinical Social Work Consultation Services PLLC
• Setauket Massage Therapy PC
• Setauket Medical & Rehabilitation PC
• Setauket Nurse Practitioner in Family Health P.C.
• Setauket Primary Medical Care PC
• Setauket Surgery, PC
• Debra A. Sfakis, REGISTERED NURSE
• Shruti M Shah

• Obesity Medicine (Internal Medicine) Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Obesity Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.