Active NPI
Patricia J Pahk, M.D.
- Ophthalmology Physician
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 249679
- Practice address
- 33 Research Way
Suite 13
East Setauket, NY 11733-3489 - Phone
- (631) 444-4090
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 249679 | NY | Primary |
| Ophthalmology Physician | 207W00000X | 227799 | MA |
Addresses
Primary practice location
33 Research Way
Suite 13
East Setauket, NY 11733-3489
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-4090
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
- Ophthalmology
- Education
- Yale University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33 Research Way
East Setauket, NY 11733-3489
Phone (631) 444-4090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249679 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Ophthalmology, University Faculty Practice Corporation | Ophthalmology | Current | Accepting new patients |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Past | Accepting new patients | |
| Lahey Clinic, Inc | Past | Accepting new patients |
Locations
500 Commack Rd
Ste 108
Commack, NY 11725
33 Research Way
Ste 13
East Setauket, NY 11733
Phone (631) 444-4092
33 Research Way
Setauket, NY 11733
Phone (631) 444-0624
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ppahk@sbumc.ecldirect.net
- patricia.pahk@direct.stonybrookmedicine.edu
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.
-
- Ophthalmology Physician
- Stony Brook, NY
- NPI 1700831195
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
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": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1881603884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-444-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 RESEARCH WAY",
"address_2": "SUITE 13",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333489",
"telephone_number": "631-444-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHK",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "249679",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "227799",
"primary": false
}
],
"identifiers": [],
"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 Aug 12, 2016; 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.