DR. PEMBER BATES EDWARDS DDS
NPI 1144677980
Dentist in Stony Brook, NY

Q: What is Pember Edwards's NPI number?

The NPI number for Pember Edwards is 1144677980. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Pember Edwards's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Pember Edwards enrolled in Medicare?

No. Pember Edwards has opted out of Medicare through February 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Pember Edwards was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 23, 2016Opted out of Medicare · through Feb 11, 2028

SUNY AT STONY BROOK HOSPITAL DENTISTRY, 151 WESTCHESTER HALL, STONY BROOK, NY 11794(631) 444-2557(631) 444-6013 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Pember Bates Edwards Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PEMBER BATES EDWARDS DDS (NPI 1144677980) is an individual dentist in Stony Brook, New York, licensed in New York (059727) and active in the NPI registry since May 2016. She has opted out of Medicare through February 11, 2028.

NPPES Registry Identity

NPI1144677980

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. PEMBER BATES EDWARDSCredential: DDS

Location AddressSUNY AT STONY BROOK HOSPITAL DENTISTRY, 151 WESTCHESTER HALLStony Brook, NY 11794-8711

Mailing AddressSuny At Stony Brook Hospital Dentistry, 151 Westchester HallStony Brook, NY 11794-8711 · (631) 444-2557 · Fax (631) 444-6013

Phone(631) 444-2557

Fax(631) 444-6013

Sole ProprietorNo

Enumeration DateMay 23, 2016

Last NPPES UpdateMay 1, 2024

NPPES CertifiedMay 1, 2024

✔ NPI 1144677980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 059727

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

SUNY AT STONY BROOK HOSPITAL DENTISTRY, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Pember Bates Edwards Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2026 through February 11, 2028.

Opt-Out Effective DateFebruary 11, 2026

Opt-Out In Effect ThroughFebruary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOGOL SHANTIYAI D.M.D.

Student in an Organized Health Care Education/Training Program

SUNY AT STONY BROOK HOSPITAL DENTISTRY, 151 WESTCHESTER HALL
STONY BROOK, NY 11794

Suffolk County (631) 444-2557

DR. FARRAH YASSI D.D.S

Dentist (General Practice)

SUNY AT STONY BROOK HOSPITAL DENTISTRY, 51 WESTCHESTER HALL
STONY BROOK, NY 11794

Suffolk County (631) 444-2557

MATTHEW GEE CHEUNG

Dentist (General Practice)

SUNY AT STONY BROOK HOSPITAL DENTISTRY, 151 WESTCHESTER HALL
STONY BROOK, NY 11794

Suffolk County (631) 444-2557

DR. DARIA LISKIN D.D.S

Dentist (Orthodontics and Dentofacial Orthopedics)

SUNY AT STONY BROOK HOSPITAL DENTISTRY, 151 WESTCHESTER HALL
STONY BROOK, NY 11794

Suffolk County (631) 444-2557

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 Pember Edwards's NPI number?

The NPI number for Pember Edwards is 1144677980. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Pember Edwards located?

Pember Edwards practices at Suny At Stony Brook Hospital Dentistry 151 Westchester Hall, Stony Brook, NY 11794. The listed phone number is (631) 444-2557.

What is Pember Edwards's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Pember Edwards enrolled in Medicare?

No. Pember Edwards has opted out of Medicare through February 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Pember Edwards was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.