NPIMap

Individual provider Active NPI

Jay B Stambler, M.D.

  • Internal Medicine Physician
  • East Islip, NY
National Provider Identifier
1821029026
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
135486 Issued in NY
Practice address
126 E Main St
Ste1
East Islip, NY 11730-2600
Phone
(631) 581-0090
Fax
(631) 581-2879
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 135486 NY Primary
Gastroenterology Physician 207RG0100X 135486 NY

Addresses

Primary practice location

126 E Main St
Ste1
East Islip, NY 11730-2600

Mailing address

126 E Main St
Ste1
East Islip, NY 11730-2600
Phone (631) 581-0090

Other identifiers 1

IdentifierTypeStateIssuer
00944005MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091207000445 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 3072652973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
New York University School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

450 Waverly Ave
Suite 1
Patchogue, NY 11772-1555
Phone (631) 438-0333

801 Gazzola Dr
East Patchogue, NY 11772-4900
Phone (631) 447-8800

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Centerwell Home Health Home health agency, Hauppauge, NY, CCN 337232
  • NYU Langone Home Health Care Home health agency, Garden City, NY, CCN 337187
  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Brookhaven Health Care Facility, LLC Nursing home, East Patchogue, NY, CCN 335694
  • Medford Multicare Center For Living Nursing home, Medford, NY, CCN 335840
  • Massapequa Center Rehabilitation & Nursing Nursing home, Amityville, NY, CCN 335213

Merit-based Incentive Payment System (MIPS)

Final score
10.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
35.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jay B Stambler MD Medical PC Internal Medicine CurrentSince Aug 15, 2018 Accepting new patients
Stambler Medical PC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Brookhaven Health Care Facility LLC Past Accepting new patients
Nursing Care Center at Medford Inc Past Accepting new patients

Locations

126 E Main St
Ste 1
East Islip, NY 11730
Phone (631) 277-8367

801 Gazzola Dr
East Patchogue, NY 11772
Phone (631) 447-8800

450 Waverly Ave
Ste 1
Patchogue, NY 11772
Phone (631) 307-9892

Networks

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

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1821029026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "address_2": "STE1",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-581-0090",
            "fax_number": "631-581-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "address_2": "STE1",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-581-0090",
            "fax_number": "631-581-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBLER",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "135486",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "135486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00944005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.