Individual provider Active NPI

Ashton L Stanton, MD

  • Physical Medicine & Rehabilitation Physician
  • Mattituck, NY
National Provider Identifier
1720215163
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
309050 Issued in NY
Practice address
10095 Main Rd
Mattituck, NY 11952-1658
Phone
(631) 430-2090
NPI assigned
Jun 12, 2009
Last updated
May 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 309050 NY Primary

Addresses

Primary practice location

10095 Main Rd
Mattituck, NY 11952-1658

Mailing address

500 Commack Rd
Commack, NY 11725-5020
Phone (631) 675-2125

Other practice location 1

182 W Montauk Hwy Ste B
Hampton Bays, NY 11946-4210
Phone (631) 298-4579

Other practice location 2

222 Manor Lane
Eastern Long Island Hospital
Greenport, NY 11944
Phone (631) 298-4579

Other identifiers 1

IdentifierTypeStateIssuer
3076227MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ASHTON.STANTON@sbcm.cernerdirect.com

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
I20210527002914 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8527184399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2003
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

201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309050NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor CurrentSince Jun 1, 2021 Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients

Locations

14 Technology Dr
Ste 11
East Setauket, NY 11733

201 Manor Pl
Greenport, NY 11944
Phone (631) 477-1000

182 W Montauk Hwy
Ste B
Hampton Bays, NY 11946
Phone (631) 594-3910

182 W Montauk Hwy
Ste C
Hampton Bays, NY 11946
Phone (631) 353-7810

10095 Main Rd
Mattituck, NY 11952
Phone (631) 213-4499

7555 Main Rd
Mattituck, NY 11952
Phone (631) 298-1678

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: ashton.stanton@sbcm.cernerdirect.com

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 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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1720215163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255020",
            "telephone_number": "631-675-2125",
            "fax_number": "631-675-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 MAIN RD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119521658",
            "telephone_number": "631-430-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 W Montauk Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Hampton Bays",
            "state": "NY",
            "postal_code": "119464210",
            "country_code": "US",
            "telephone_number": "631-298-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Manor Lane",
            "address_2": "Eastern Long Island Hospital",
            "address_purpose": "LOCATION",
            "city": "Greenport",
            "state": "NY",
            "postal_code": "11944",
            "country_code": "US",
            "telephone_number": "631-298-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "ASHTON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "309050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076227",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ASHTON.STANTON@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "10095 Main Rd",
            "city": "Mattituck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119521658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mattituck, NY

Sources for this page

Verify at the official NPI Registry.