Active NPI
Hannah Skylar Sledge, PA
- Physician Assistant
- Lake Grove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 034485
- Practice address
- 4 Smith Haven Haven Mall
Suite 103
Lake Grove, NY 11755 - Phone
- (631) 444-4233
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 034485 | NY | Primary |
Addresses
Primary practice location
4 Smith Haven Haven Mall
Suite 103
Lake Grove, NY 11755
Mailing address
4 Smith Haven Haven Mall
Suite 103
Lake Grove, NY 11755
Other names 1
- Hannah Palau
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | Current | Accepting new patients | |
| Stony Brook Anaesthesiology, University Faculty Practice Corporation | Past | Accepting new patients | |
| University Associates in Obstetrics & Gynecology, University Faculty P | Past | Accepting new patients | |
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Past | Accepting new patients |
Locations
500 Commack Rd
Unit 100
Commack, NY 11725
Phone (631) 221-6818
14 Technology Dr
Ste 11
East Setauket, NY 11733
Phone (631) 444-1496
4 Smith Haven Mall
Ste 103
Lake Grove, NY 11755
100 Nicolls Rd
Stony Brook, NY 11790
Phone (631) 444-1069
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Stony Brook, NY
- NPI 1154377638
-
- Anesthesiology Physician
- Stony Brook, NY
- NPI 1801841184
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
-
- Obstetrics & Gynecology Physician
- Stony Brook, NY
- NPI 1538114723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1750915252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SMITH HAVEN HAVEN MALL",
"address_2": "SUITE 103",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "11755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SMITH HAVEN HAVEN MALL",
"address_2": "SUITE 103",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "11755",
"telephone_number": "631-444-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDGE",
"first_name": "HANNAH",
"middle_name": "SKYLAR",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "034485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "PALAU",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.