NEW YORK SPINE & BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORATIO
NPI 1154376309
Neurological Surgery in Stony Brook, NY

Active since May 24, 2006
SUNY @ STONY BROOK, HSC, L12, RM 080, STONY BROOK, NY 11794(631) 444-1116 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About New York Spine & Brain Surgery, University Faculty Practice Corporatio NPPES

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

NEW YORK SPINE & BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORATIO (NPI 1154376309) is a healthcare organization registered as a neurological surgery in Stony Brook, New York and active in the NPI registry since May 2006. The organization lists Raphael P. Davis, Chair Person, as its authorized official.

NPPES Registry Identity

NPI1154376309
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameNEW YORK SPINE & BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORATIO
Location AddressSUNY @ STONY BROOK, HSC, L12, RM 080Stony Brook, NY 11794-0001
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988 · (631) 444-1116
Organization SubpartNo
Authorized OfficialRaphael P. DavisChair Person · (631) 444-1116
Enumeration DateMay 24, 2006
Last NPPES UpdateOctober 6, 2015
✔ NPI 1154376309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
SUNY @ STONY BROOK, Stony Brook, NY 11794

Other Identifiers 2

Medicaid00778285NY
Medicare PINW08321NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New York Spine & Brain Surgery, University Faculty Practice Corporatio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to New York Spine & Brain Surgery, University Faculty Practice Corporatio, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Neurosurgery11
Nurse Practitioner10
Physical Medicine and Rehabilitation2
Critical Care (Intensivists)1
Emergency Medicine1
Interventional Radiology1
Neurology1

Nearest to this location (20)

See all 27
Nurse Practitioner
NPI 1790023471
HSC T12 ROOM 080 DEPT OF NEUROSURGERY
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1902082209
DEPARTMENT OF NEUROLOGICAL SURGERY NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.1 mi
Neurosurgery
NPI 1043673080
HSC, T-12, ROOM 080
Stony Brook, NY 11794
(631) 444-1213
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1528745700
100 NICOLLS RD RM 80
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1497614747
100 NICOLLS RD HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1093467094
100 NICOLLS ROAD HSC T12-080 SUNY STONY BROOK/NEUROSURGERY
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1619788510
100 NICOLLS ROAD HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS0.3 mi
Neurosurgery
NPI 1518200781
100 NICOLLS ROAD HSC T12 ROOM 08
Stony Brook, NY 11794
(202) 306-2352
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1942829411
100 NICOLLS RD., HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.3 mi
Neurosurgery
NPI 1407595010
100 NICOLLS RD RM 80
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Radiology
NPI 1467416271
HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-1213
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1760001754
101 NICOLLS RD HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-8070
✔ PECOS✔ Accepts Medicare0.5 mi
Neurosurgery
NPI 1225920499
101 NICOLLS ROAD HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-1213
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1689389074
101 NICOLLS RD
Stony Brook, NY 11794
(631) 444-7788
✔ PECOS✔ Accepts Medicare0.5 mi
Emergency Medicine
NPI 1629249727
STONY BROOK MEDICINE EMERGENCY MEDICINE HSC, LEVEL 4, ROOM 080
Stony Brook, NY 11794
(631) 444-2478
✔ PECOS✔ Accepts Medicare0.5 mi
Neurosurgery
NPI 1801167895
NEW YORK SPINE AND BRAIN SURGERY HSC T12 RM 080
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.5 mi
Neurosurgery
NPI 1124254917
HSC T12 ROOM 080
Stony Brook, NY 11794
(631) 444-1116
✔ PECOS✔ Accepts Medicare0.5 mi
Neurosurgery
NPI 1376573949
24 RESEARCH WAY SUITE 200
East Setauket, NY 11733
(631) 444-1213
✔ PECOS✔ Accepts Medicare2.0 mi
Physical Medicine and Rehabilitation
NPI 1790754976
24 RESEARCH WAY SUITE 200
East Setauket, NY 11733
(631) 444-1210
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1184162620
181 N BELLE MEAD RD
East Setauket, NY 11733
(631) 444-2599
✔ PECOS✔ Accepts Medicare2.0 mi
See all 27 clinicians

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 New York Spine & Brain Surgery, University Faculty Practice Corporatio's NPI number?

The NPI number for New York Spine & Brain Surgery, University Faculty Practice Corporatio is 1154376309. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is New York Spine & Brain Surgery, University Faculty Practice Corporatio located?

New York Spine & Brain Surgery, University Faculty Practice Corporatio is located at Suny @ Stony Brook Hsc, L12, Rm 080, Stony Brook, NY 11794. The listed phone number is (631) 444-1116.

What is New York Spine & Brain Surgery, University Faculty Practice Corporatio's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is New York Spine & Brain Surgery, University Faculty Practice Corporatio enrolled in Medicare?

Yes. New York Spine & Brain Surgery, University Faculty Practice Corporatio is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New York Spine & Brain Surgery, University Faculty Practice Corporatio?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 7 Medicare specialties reassign their Medicare billing to New York Spine & Brain Surgery, 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 Neurosurgery (11), Nurse Practitioner (10) and Physical Medicine and Rehabilitation (2). Of these, 25 practice 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 New York Spine & Brain Surgery, University Faculty Practice Corporatio was last updated on October 6, 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.