STONY BROOK DERMATOLOGY ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR
NPI 1497700819
Dermatology in Stony Brook, NY
About Stony Brook Dermatology Associates, University Faculty Practice Corpor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONY BROOK DERMATOLOGY ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR (NPI 1497700819) is a healthcare organization registered as a dermatology in Stony Brook, New York and active in the NPI registry since May 2006. The organization lists Evan Jones, Chair Person, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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 Dermatology Associates, University Faculty Practice Corpor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Stony Brook Dermatology Associates, University Faculty Practice Corpor, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Stony Brook, NY 11794
Stony Brook, NY 11790
Port Jefferson Station, NY 11776
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 Dermatology Associates, University Faculty Practice Corpor's NPI number?
The NPI number for Stony Brook Dermatology Associates, University Faculty Practice Corpor is 1497700819. It was assigned to this organization in the NPPES registry on May 24, 2006.
Where is Stony Brook Dermatology Associates, University Faculty Practice Corpor located?
Stony Brook Dermatology Associates, University Faculty Practice Corpor is located at Suny @ Stony Brook Hsc, L16, Rm 060, Stony Brook, NY 11794. The listed phone number is (631) 444-7597.
What is Stony Brook Dermatology Associates, University Faculty Practice Corpor's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Stony Brook Dermatology Associates, University Faculty Practice Corpor enrolled in Medicare?
Yes. Stony Brook Dermatology Associates, University Faculty Practice Corpor is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stony Brook Dermatology Associates, University Faculty Practice Corpor?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Stony Brook Dermatology Associates, University Faculty Practice Corpor. 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 Dermatology (10) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 10 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 Stony Brook Dermatology Associates, University Faculty Practice Corpor was last updated on January 22, 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.
# Stony Brook Dermatology Associates, University Faculty Practice Corpor · NPI 1497700819
Dermatology organization in Stony Brook, New York. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1497700819 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Evan Jones, CHAIR PERSON
## Practice location
- **Address:** SUNY @ STONY BROOK, HSC, L16, RM 060, Stony Brook, NY 11794-0001
- **Phone:** (631) 444-7597
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (10), Micrographic Dermatologic Surgery (MDS) (2); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2015
- **Other identifiers:** Medicare PIN W20211 (NY); Medicaid 01193984 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1497700819) · Data from the CMS NPPES public registry.