JUSTINA M ECKLEY PNP
NPI 1104126408
Nurse Practitioner - Pediatrics in Sayville, NY
About Justina M Eckley Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTINA M ECKLEY PNP (NPI 1104126408) is an individual pediatrics provider in Sayville, New York, licensed in New York (F-382150) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justina M Eckley Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Justina Eckley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11782 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAYVILLE, NY 11782
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 Justina Eckley's NPI number?
The NPI number for Justina Eckley is 1104126408. It was assigned to this individual provider in the NPPES registry on November 2, 2010.
Where is Justina Eckley located?
Justina Eckley practices at 285 W Main St Ste 104, Sayville, NY 11782. The listed phone number is (631) 563-8190.
What is Justina Eckley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Justina Eckley enrolled in Medicare?
Yes. Justina Eckley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Justina Eckley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justina Eckley reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The 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 Justina Eckley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Justina Eckley was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Justina M Eckley, PNP · NPI 1104126408
Pediatrics physician in Sayville, New York. Individual provider, active in the CMS NPPES registry since November 2, 2010.
## Identity
- **NPI:** 1104126408 (Entity type: Individual)
- **Enumerated:** November 2, 2010
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** F-382150 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 285 W MAIN ST STE 104, Sayville, NY 11782-2540
- **Phone:** (631) 563-8190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stony Brook Children's Service, University Faculty Practice Corporatio (NPI 1083660575, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1104126408) · Data from the CMS NPPES public registry.