Scott Michael Nettboy, DO
Individual provider Active NPI Internal Medicine Physician · Stony Brook, NY
NPI 1831682202 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1831682202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 310631 (NY)
- Practice address
- 100 Nicolls Rd
Stony Brook, NY 11794-2510 - Phone
- (631) 444-8478
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stony Brook Internists University Faculty Practice Corporation
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1560
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1560
26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580
Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (632) 638-1000
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210607002464 | NY | Practitioner - Hospitalist | 0244630689 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Current |
Accepting new patients |
| Stony Brook Internists, University Faculty Practice Corporation | Current |
Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients |
Locations
26 Research Way
East Setauket, NY 11733
Phone (631) 444-0502
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- scott.nettboy@direct.stonybrookmedicine.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 310631 | NY | Yes |
Addresses
Primary practice location
100 Nicolls Rd
Stony Brook, NY 11794-2510
Mailing address
Health Sciences Tower Level 16, RM 020
Stony Brook, NY 11794-0001
Phone (631) 444-8478
Other providers in Stony Brook, NY
- Salma Nazneen
- Alexander Neary
- Annemarie Neary
- Cole Garrett Nelson
- Alexandra Maria Nerantzinis
- Barbara Ann Neuhaus
- Neuro Brain & Spine Surgery, P.C.
- Neurology Associates of Stony Brook, University Faculty Practice Corpo
- New York Spine & Brain Surgery, University Faculty Practice Corporatio
- New York Spine and Brain Surgery
All providers in Stony Brook, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.