Active NPI
Joseph Angelo Spataro, MD
- Specialist
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2116571
- Practice address
- 45 Research Way
Suite 105
East Setauket, NY 11733-6401 - Phone
- (631) 675-2125
- Fax
- (631) 675-2624
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2116571 | NY | Primary |
Addresses
Primary practice location
45 Research Way
Suite 105
East Setauket, NY 11733-6401
Mailing address
45 Research Way
Suite 105
East Setauket, NY 11733-6401
Phone (631) 675-2125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030403489 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of Ny Upstate Medical University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2116571 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Associates in Obstetrics & Gynecology, University Faculty P | Current | Accepting new patients | |
| Stony Brook Gynecology & Obstetrics, P.C. | Past | Accepting new patients | |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144
74 Commerce Ave
Ste 1
Riverhead, NY 11901
Phone (531) 405-0898
595 Hampton Rd
Southampton, NY 11968
Phone (516) 283-0918
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- joseph.spataro@sbcm.cernerdirect.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Stony Brook, NY
- NPI 1538114723
-
- Obstetrics & Gynecology Physician
- Setauket, NY
- NPI 1770550477
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1811952856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY",
"address_2": "SUITE 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": "45 RESEARCH WAY",
"address_2": "SUITE 105",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-675-2125",
"fax_number": "631-675-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPATARO",
"first_name": "JOSEPH",
"middle_name": "ANGELO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2116571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030403489",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.