JANE T KUGACZEWSKI MD PEDIATRIC SURGERY PC
NPI 1487998886
Surgery - Pediatric Surgery in Stony Brook, NY

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

Active since November 26, 2012

2500 NESCONSET HWY, BLDG 16B SUITE 62, STONY BROOK, NY 11790(631) 689-5695(631) 689-3073 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jane T Kugaczewski Md Pediatric Surgery Pc NPPES

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

JANE T KUGACZEWSKI MD PEDIATRIC SURGERY PC (NPI 1487998886) is a healthcare organization registered as a pediatric surgery in Stony Brook, New York and active in the NPI registry since November 2012. The organization lists Jane T Kugaczewski, President, as its authorized official.

NPPES Registry Identity

NPI1487998886

Entity TypeOrganization

Primary Taxonomy2086S0120X

Legal Business NameJANE T KUGACZEWSKI MD PEDIATRIC SURGERY PC

Location Address2500 NESCONSET HWY, BLDG 16B SUITE 62Stony Brook, NY 11790-2555

Mailing Address8a Old Field RdSetauket, NY 11733-2280 · (631) 689-5695 · Fax (631) 689-3073

Phone(631) 689-5695

Fax(631) 689-3073

Organization SubpartNo

Authorized OfficialJane T KugaczewskiPresident · (631) 689-5695

Enumeration DateNovember 26, 2012

✔ NPI 1487998886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in NY · 169901

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

2500 NESCONSET HWY, Stony Brook, NY 11790

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Other Identifiers 1

Medicaid01623138NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP