Individual provider Active NPI

Sharon K Prasad

  • Hematology & Oncology Physician
  • Stony Brook, NY
National Provider Identifier
1346887270
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
026244 Issued in NY
Practice address
1 Lauterbur Dr
Stony Brook, NY 11794-2313
Phone
(631) 444-4392
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X 026244 NY Primary

Addresses

Primary practice location

1 Lauterbur Dr
Stony Brook, NY 11794-2313

Mailing address

22 Diane LN
East Northport, NY 11731-5217

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
I20210604000814 NY Practitioner - Physician Assistant 3375942717 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1750

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580

3 Edmond D Pellegrino Rd
Stony Brook, NY 11794-9447
Phone (631) 638-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026244NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Jun 23, 2025 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Jun 23, 2025 Accepting new patients
CHS Physician Partners, PC CurrentSince Feb 28, 2023 Accepting new patients
CHS Physician Partners, P.C CurrentSince Feb 28, 2023 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Jun 23, 2025 Accepting new patients
New York Spine & Brain Surgery, University Faculty Practice Corporatio PastSince Jun 15, 2025 Accepting new patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor PastSince Jun 15, 2025 Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

2053 Bellmore Ave
Bellmore, NY 11710
Phone (516) 481-6200

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

3 Edmund D Pellegrino Rd
Stony Brook, NY 11794
Phone (631) 638-0800

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

Networks

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

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1346887270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DIANE LN",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAUTERBUR DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942313",
            "telephone_number": "631-444-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SHARON",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "026244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.