Robert N Prichep, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

148405 Issued in NY

Practice address

486 Sunrise Hwy Ste 2
West Babylon, NY 11704-6019

Phone

(631) 509-5460

Fax

(720) 519-1848

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

Other, 1980

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
• John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
• NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr Robert N Prichep Physician PC

  • Surgery Physician
  • East Patchogue, NY
  • NPI 1326288978

  Single Specialty

  Medicare reassignment NPD
• Brooklyn Nuclear Spect Imaging, PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1518912096

  Single Specialty

  NPD (past)
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  NPD (past)
• Suffolk Interventional Suites Inc.

  • Ambulatory Surgical Clinic/Center
  • Port Jefferson Station, NY
  • NPI 1679716245
  NPD (past)
• Vascular Interventional Services, PLLC

  • Vascular Surgery Physician
  • Port Jefferson Sta, NY
  • NPI 1144553025

  Single Specialty

  NPD (past)

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

• Central Suffolk Hospital

  • Home Health Agency
  • Riverhead, NY
  • NPI 1932155678
  Care Compare affiliation
• John T. Mather Memorial Hospital

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1093718728
  Care Compare affiliation
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1689635385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 SUNRISE HWY STE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046019",
            "telephone_number": "631-509-5460",
            "fax_number": "720-519-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 SUNRISE HWY STE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046019",
            "telephone_number": "631-509-5460",
            "fax_number": "720-519-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICHEP",
        "first_name": "ROBERT",
        "middle_name": "N",
        "credential": "P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "148405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00962092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Polizzi
• Mariana Carolina Ponte
• Eugen Pop, DDS
• Evelyn J Powers, RN
• Lauren Prendergast
• Andrew Dennis Prichinello, LCAT, ATR-BC
• Elaine Allyson Prince, LPN
• Professional Occupational & Physical Therapy, PLLC
• Gladys Prudent
• Rebecca Przystawski

• Surgery Physician in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.