Neurology Associates of Stony Brook, University Faculty Practice Corpo
Organization Active NPI Neurology Physician · Stony Brook, NY
NPI 1699720888 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1699720888
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- NEUROLOGY ASSOCIATES OF STONY BROOK, UNIVERSITY FACULTY PRACTICE CORPO
- Practice address
- 101 Nicolls Rd RM 20
Stony Brook, NY 11794-0001 - Phone
- (631) 444-2599
- Fax
- (631) 441-4744
- NPI assigned
- May 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Marc W Halterman, M.D., PHD
- Title
- President / Director
- Phone
- (631) 444-2599
Practitioners 223
-
Nataliya Abel, NP
-
Anne Felicia Ambrose, M.D.
-
Robert Bodroghy, MD
-
Alison Caruana, D.O.
-
Patricia Coyle, M.D.
-
Ferhat Erol, MD
-
Michael Guido III, M.D.
-
Nurcan Gursoy, MD, PHD
-
Mary Hahn, MD
-
Cara E Harth, M.D.
-
Samantha Harwood, NP
-
Svetlana Ilizarov, M.D.
-
Yana Krutoshinskaya, M.D.
-
Nicole Ladd, CPNP
-
Jason Mathew, D.O
-
Carine Maurer, M.D./PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040325001262 | NY | Part B Supplier - Clinic/Group Practice | 5193617116 |
Receives reassigned benefits from 68 practitioners Practice locations: Rocky Point, NY; Smithtown, NY; Southampton, NY; Stony Brook, NY; East Setauket, NY; Wading River, NY; Port Jefferson Sta, NY; Lake Grove, NY… |
National Provider Directory
Locations
4875 Sunrise Hwy
Ste 200
Bohemia, NY 11716
Phone (631) 638-4401
500 Commack Rd
Ste 104
Commack, NY 11725
Phone (631) 638-0150
500 Commack Rd
Unit 150B
Commack, NY 11725
Phone (516) 627-8717
179 N Belle Mead Ave
Ste 6
East Setauket, NY 11733
54 Commerce Ave
Ste 7
Riverhead, NY 11901
Phone (631) 444-1210
6 Technology Dr
Ste 200
Setauket, NY 11733
Phone (631) 216-8656
37 Research Way
Setauket, NY 11733
Phone (631) 444-4121
100 Nicolls Rd
Ste 2
Stony Brook, NY 11794
Sbumc Hsc T12020
Stony Brook, NY 11794
Suny Hsc Level 5
Stony Brook, NY 11794
Phone (631) 361-2053
20 Suny
Stony Brook, NY 11794
Phone (631) 444-2731
101 Nicolls Rd
Rm 20
Stony Brook, NY 11794
Phone (631) 444-2739
181 N Belle Mead Ave
Ste 5
Stony Brook, NY 11794
Hsc L12 020
Stony Brook, NY 11794
Univ Hspl5
Ste 2
Stony Brook, NY 11794
Hsc T12
Rm 020
Stony Brook, NY 11794
3700 Nesconset Hwy
Stony Brook, NY 11794
Hsc T12020
Stony Brook, NY 11794
Phone (202) 687-2184
Sbumc Hsc Level T12
Rm 020
Stony Brook, NY 11794
181 N Belle Mead Rd
Ste 6
Stony Brook, NY 11794
Univ Hospital Level 5 Mod A
Stony Brook, NY 11794
100 Nicolls Rd
Fl 13
Stony Brook, NY 11794
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
101 Nicolls Rd RM 20
Stony Brook, NY 11794-0001
Mailing address
PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 444-8462
Other practice location 1
181 N Belle Mead Rd
East Setauket, NY 11733-3495
Phone (631) 444-2599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01379102 | Medicaid | NY |
Other providers in Stony Brook, NY
- Cole Garrett Nelson
- Alexandra Maria Nerantzinis
- Scott Michael Nettboy
- Barbara Ann Neuhaus
- Neuro Brain & Spine Surgery, P.C.
- New York Spine & Brain Surgery, University Faculty Practice Corporatio
- New York Spine and Brain Surgery
- Ivana Newen
- Naomi Lan Newen
- Erika H Newton
All providers in Stony Brook, NY · Neurology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.