Individual provider Active NPI

Elizabeth A Baron, PA-C

  • Physician Assistant
  • Stony Brook, NY
National Provider Identifier
1922293141
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016955-01 Issued in NY
Practice address
101 Nicolls Rd # Hscl4060
Stony Brook, NY 11794-0001
Phone
(631) 444-2078
Fax
(631) 638-1199
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016955-01 NY Primary
Physician Assistant 363A00000X 1336 MA

Addresses

Primary practice location

101 Nicolls Rd # Hscl4060
Stony Brook, NY 11794-0001

Mailing address

101 Nicolls Rd # Hscl4060
Stony Brook, NY 11794-0001
Phone (631) 444-2078

Other practice location 1

340 Howells Rd Ste 2B
Bay Shore, NY 11706-5322
Phone (833) 547-7463

Other practice location 2

66 Commack Rd Ste 103
Commack, NY 11725-3405
Phone (833) 547-7463

Other practice location 3

182 Main St
Huntington, NY 11743-6987
Phone (833) 547-7463

Other practice location 4

4250 Hempstead Tpke Ste 4
Bethpage, NY 11714-5707
Phone (833) 547-7463

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141204001548 NY Practitioner - Physician Assistant 4082773189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8480
Phone (631) 444-2975

3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-0001
Phone (631) 638-0800

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1336MAMDAddiction (Substance Use Disorder) Counselor
016955-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1922293141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD # HSCL4060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2078",
            "fax_number": "631-638-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD # HSCL4060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2078",
            "fax_number": "631-638-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Howells Rd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117065322",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Commack Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253405",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117436987",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hempstead Tpke Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117145707",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016955-01",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.