STONY BROOK ORAL AND FACIAL SURGERY PC
NPI 1497289037
Dentist - Oral and Maxillofacial Surgery in Stony Brook, NY

Q: What is Stony Brook Oral And Facial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since April 19, 2017

207 HALLOCK RD, SUITE 2, STONY BROOK, NY 11790(631) 675-9601(631) 675-9602 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stony Brook Oral And Facial Surgery Pc NPPES

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

STONY BROOK ORAL AND FACIAL SURGERY PC (NPI 1497289037) is a healthcare organization registered as an oral and maxillofacial surgery in Stony Brook, New York and active in the NPI registry since April 2017. The organization lists Michael Proothi, Owner, as its authorized official.

NPPES Registry Identity

NPI1497289037

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSTONY BROOK ORAL AND FACIAL SURGERY PC

Location Address207 HALLOCK RD, SUITE 2Stony Brook, NY 11790-3033

Mailing Address207 Hallock Rd, Suite 2Stony Brook, NY 11790-3033 · (631) 675-9601 · Fax (631) 675-9602

Phone(631) 675-9601

Fax(631) 675-9602

Organization SubpartNo

Authorized OfficialMichael ProothiOwner · (631) 675-9601

Enumeration DateApril 19, 2017

Last NPPES UpdateFebruary 29, 2024

NPPES CertifiedFebruary 29, 2024

✔ NPI 1497289037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NY · 051735-1

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

207 HALLOCK RD, Stony Brook, NY 11790

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stony Brook Oral And Facial Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Stony Brook Oral And Facial Surgery PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nicholas Montanaro, DDS, MD

Oral Surgery

NPI 1881150688

207 HALLOCK RD STE 2
Stony Brook, NY 11790

(631) 675-9601

✔ PECOS✔ Accepts MedicareSame address

Michael Proothi, DMD, MD

Maxillofacial Surgery

NPI 1124279856

207 HALLOCK RD STE 2
Stony Brook, NY 11790

(631) 675-9601

✔ PECOS✔ Accepts MedicareSame address

Mitchell Steinberg, DDS, MD

Oral Surgery

NPI 1942540281

495 CENTRAL PARK AVE
Scarsdale, NY 10583

(914) 472-0100

✔ PECOS✔ Accepts Medicare37 mi

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 Stony Brook Oral And Facial Surgery PC's NPI number?

The NPI number for Stony Brook Oral And Facial Surgery PC is 1497289037. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is Stony Brook Oral And Facial Surgery PC located?

Stony Brook Oral And Facial Surgery PC is located at 207 Hallock Rd Suite 2, Stony Brook, NY 11790. The listed phone number is (631) 675-9601.

What is Stony Brook Oral And Facial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Stony Brook Oral And Facial Surgery PC enrolled in Medicare?

Yes. Stony Brook Oral And Facial Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stony Brook Oral And Facial Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Stony Brook Oral And Facial Surgery PC, in Maxillofacial Surgery and Oral Surgery. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Stony Brook Oral And Facial Surgery PC accept?

Health plans from UnitedHealthcare list Stony Brook Oral And Facial Surgery PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stony Brook Oral And Facial Surgery PC was last updated on February 29, 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.