Individual provider Active NPI

Seth Evan Persky, MD

  • Gastroenterology Physician
  • East Setauket, NY
National Provider Identifier
1508823600
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
213007 Issued in NY
Practice address
3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327
Phone
(631) 751-8700
Fax
(631) 751-5971
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 213007 NY Primary

Addresses

Primary practice location

3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327

Mailing address

3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327
Phone (631) 751-8700

Other identifiers 1

IdentifierTypeStateIssuer
02120827MedicaidNY

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
I20110304000184 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2567644065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Setauket PCGroup PAC ID 7517398001, 15 clinicians

Practice addresses (Care Compare)

3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327
Phone (631) 751-8700

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy190
Upper gastrointestinal (GI) endoscopy for acid reflux165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213007NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Setauket, P.C. Gastroenterology CurrentSince May 4, 2020 Accepting new patients
Mather Faculty Medical Affiliates, University Faculty Practice Corp Gastroenterology Past Accepting new patients

Locations

1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450

3400 Nesconset Hwy
Ste 101
Setauket, NY 11733
Phone (631) 751-8700

6144 Route 25A
Ste D21
Wading River, NY 11792
Phone (631) 751-8700

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1508823600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "SUITE 101",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-8700",
            "fax_number": "631-751-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "SUITE 101",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-8700",
            "fax_number": "631-751-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSKY",
        "first_name": "SETH",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "213007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02120827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.