STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
NPI 1083660575
Pediatrics in Stony Brook, NY
About Stony Brook Children's Service, University Faculty Practice Corporatio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO (NPI 1083660575) is a healthcare organization registered as a pediatrics in Stony Brook, New York and active in the NPI registry since May 2006. The organization lists Margaret Mcgovern, Chair Person, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stony Brook Children's Service, University Faculty Practice Corporatio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
190Medicare enrollment records show 190 clinicians reassign Medicare billing to Stony Brook Children's Service, University Faculty Practice Corporatio, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 127 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 190Stony Brook, NY 11794
Stony Brook, NY 11794
Stony Brook, NY 11794
Stony Brook, NY 11794
Stony Brook, NY 11794
Stony Brook, NY 11790
Stony Brook, NY 11794
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stony Brook Children's Service, University Faculty Practice Corporatio's NPI number?
The NPI number for Stony Brook Children's Service, University Faculty Practice Corporatio is 1083660575. It was assigned to this organization in the NPPES registry on May 26, 2006.
Where is Stony Brook Children's Service, University Faculty Practice Corporatio located?
Stony Brook Children's Service, University Faculty Practice Corporatio is located at Suny @ Stony Brook Hsc, L11, Rm 020, Stony Brook, NY 11794. The listed phone number is (631) 444-1362.
What is Stony Brook Children's Service, University Faculty Practice Corporatio's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Stony Brook Children's Service, University Faculty Practice Corporatio enrolled in Medicare?
Yes. Stony Brook Children's Service, University Faculty Practice Corporatio is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stony Brook Children's Service, University Faculty Practice Corporatio?
According to the CMS Revalidation Reassignment List (October 2026 release), 190 clinicians in 13 Medicare specialties reassign their Medicare billing to Stony Brook Children's Service, University Faculty Practice Corporatio. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pediatric Medicine (121), Nurse Practitioner (48) and Cardiovascular Disease (Cardiology) (4). Of these, 4 practice at this address and 127 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stony Brook Children's Service, University Faculty Practice Corporatio was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stony Brook Children's Service, University Faculty Practice Corporatio · NPI 1083660575
Pediatrics organization in Stony Brook, New York. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1083660575 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Margaret Mcgovern, CHAIR PERSON
## Practice location
- **Address:** SUNY @ STONY BROOK, HSC, L11, RM 020, Stony Brook, NY 11794-0001
- **Phone:** (631) 444-1362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 190 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (121), Nurse Practitioner (48), Cardiovascular Disease (Cardiology) (4); 4 practice at this address and 127 within 10 miles; [full list](https://npiprofile.com/npi/1083660575/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2015
- **Other identifiers:** Medicaid 02291087 (NY); Medicare PIN W91061 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083660575) · Data from the CMS NPPES public registry.