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MATHEW D EDNICK D.O.
NPI 1295942266
Pediatrics - Pediatric Pulmonology in Stony Brook, NY

Active since May 17, 2007PECOS Enrolled
100 NICOLLS RD # LEVEL11, STONY BROOK, NY 11794(631) 444-8340(631) 444-6045 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mathew D Ednick D.o. NPPES

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

MATHEW D EDNICK D.O. (NPI 1295942266) is an individual pediatric pulmonology provider in Stony Brook, New York, licensed in Ohio (34-008778) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295942266
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameMATHEW D EDNICKCredential: D.O.
Location Address100 NICOLLS RD # LEVEL11Stony Brook, NY 11794-8111
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-8340 · Fax (631) 444-6045
Phone(631) 444-8340
Fax(631) 444-6045
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateNovember 27, 2013
✔ NPI 1295942266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in OH · 34-008778
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
100 NICOLLS RD # LEVEL11, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mathew D Ednick D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mathew Ednick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.3 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. ROBERT P WORONIECKI M.D.
Pediatrics (Pediatric Nephrology)
100 NICOLLS RD # LEVEL11
STONY BROOK, NY 11794
Suffolk County (631) 444-7884

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 Mathew Ednick's NPI number?

The NPI number for Mathew Ednick is 1295942266. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Mathew Ednick located?

Mathew Ednick practices at 100 Nicolls Rd # Level11, Stony Brook, NY 11794. The listed phone number is (631) 444-8340.

What is Mathew Ednick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Mathew Ednick enrolled in Medicare?

Yes. Mathew Ednick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mathew Ednick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathew Ednick 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 Mathew Ednick'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 Mathew Ednick was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.