NPIMap

Individual provider Active NPI

John Labiak

  • Orthopaedic Surgery Physician
  • Smithtown, NY
National Provider Identifier
1396747267
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
173947 Issued in NY
Practice address
290 E Main St
Suite 200
Smithtown, NY 11787-2916
Phone
(631) 265-1855
Fax
(631) 724-2579
NPI assigned
Aug 11, 2005
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 173947 NY Primary

Addresses

Primary practice location

290 E Main St
Suite 200
Smithtown, NY 11787-2916

Mailing address

290 E Main St
Suite 200
Smithtown, NY 11787-2916
Phone (631) 265-1855

Other identifiers 1

IdentifierTypeStateIssuer
01477710MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000820 NY Practitioner - Orthopedic Surgery 3678765765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Technology Dr
Suite 11
East Setauket, NY 11733-3464
Phone (631) 444-4233

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion166
Laminectomy or laminotomy (partial removal of spine bones)77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor Orthopaedic Surgery CurrentSince May 1, 2024 Accepting new patients
John Labiak MD PC CurrentSince Mar 17, 1988 Accepting new patients

Locations

14 Technology Dr
Ste 11
East Setauket, NY 11733
Phone (631) 216-8187

14 Technology Dr
Setauket, NY 11733
Phone (516) 444-1357

290 E Main St
Ste 200
Smithtown, NY 11787
Phone (631) 361-5302

329 E Main St
Ste 3
Smithtown, NY 11787
Phone (631) 265-1855

Networks

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

Interoperability endpoints

  • Direct secure messaging: jlabiak16238@direct-chsli.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1396747267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-265-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-265-1855",
            "fax_number": "631-724-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABIAK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "173947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01477710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.