Stony Brook Gynecology & Obstetrics, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

STONY BROOK GYNECOLOGY & OBSTETRICS, P.C.

Practice address

200 Main St
Setauket, NY 11733

Phone

(631) 751-9595

Fax

(631) 751-2322

NPI assigned

Mar 2, 2006

Last updated

Apr 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark I Funt, MD

Title

President

Phone

(631) 751-9595

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Lauren Demarco, M.D.

  • Obstetrics & Gynecology Physician
  • Setauket, NY
  • NPI 1023351640
  NPD
• Vito Alamia Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Southampton, NY
  • NPI 1801973193
  NPD (past)
• Jacqueline A Ammirata, MD

  • Obstetrics & Gynecology Physician
  • West Islip, NY
  • NPI 1104938455
  NPD (past)
• Constantine Bakas, D.O.

  • Obstetrics & Gynecology Physician
  • Southampton, NY
  • NPI 1194895177
  NPD (past)
• Donna Lee Boehm, ANP

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
  • NPI 1255523973
  NPD (past)
• Joan Marie Butler, NP CNM

  • Advanced Practice Midwife
  • Southampton, NY
  • NPI 1528186939
  NPD (past)
• Barbara J Cusumano, MD

  • Pediatrics Physician
  • Hampton Bays, NY
  • NPI 1023172418
  NPD (past)
• Diane Hoffman Cymerman, MD

  • Allergy & Immunology Physician
  • Stony Brook, NY
  • NPI 1912907486
  NPD (past)
• Allen Lawrence Fein, M.D.

  • Family Medicine Physician
  • Southampton, NY
  • NPI 1881672533
  NPD (past)
• Susan Fish, N.P.

  • Obstetrics & Gynecology Physician
  • Setauket, NY
  • NPI 1649480047
  NPD (past)
• Louis M Goldblum, DO

  • Pediatrics Physician
  • Southampton, NY
  • NPI 1841290608
  NPD (past)
• Howard Hinestroza, MD

  • Pediatrics Physician
  • Sayville, NY
  • NPI 1548322472
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1770550477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESEARCH WAY STE 105",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336401",
            "telephone_number": "631-675-2125",
            "fax_number": "631-675-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-751-9595",
            "fax_number": "631-751-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK GYNECOLOGY & OBSTETRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "FUNT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-751-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WEP881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Catherine of Siena
• Cassandra Paige Stapleton
• Mitchell Lee Steinberg, D.P.M.
• Kristopher Steinert, PHARMD
• Svetlana Stepukhovich, PH.D.
• Stony Brook University Medical Center
• Stony Brook Vision Care Inc
• Christine Szaraz, LMHC
• Maria Teresa Taliento
• Lourdes Deana Tanpiengco, MD

• Obstetrics & Gynecology Physician in Setauket, NY
• Providers in Setauket, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.