STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
NPI 1538114707
Urology in East Setauket, NY
About Stony Brook Urology, University Faculty Practice Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION (NPI 1538114707) is a healthcare organization registered as an urology in East Setauket, New York and active in the NPI registry since May 2006. The organization lists Wayne Waltzer, Chair Person, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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 Urology, University Faculty Practice Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Stony Brook Urology, University Faculty Practice Corporation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 32Stony Brook, NY 11794
Stony Brook, NY 11794
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 Urology, University Faculty Practice Corporation's NPI number?
The NPI number for Stony Brook Urology, University Faculty Practice Corporation is 1538114707. It was assigned to this organization in the NPPES registry on May 24, 2006.
Where is Stony Brook Urology, University Faculty Practice Corporation located?
Stony Brook Urology, University Faculty Practice Corporation is located at 24 Research Way Suite 500, East Setauket, NY 11733. The listed phone number is (631) 444-6270.
What is Stony Brook Urology, University Faculty Practice Corporation's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Stony Brook Urology, University Faculty Practice Corporation enrolled in Medicare?
Yes. Stony Brook Urology, University Faculty Practice Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stony Brook Urology, University Faculty Practice Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 3 Medicare specialties reassign their Medicare billing to Stony Brook Urology, University Faculty Practice Corporation. 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 Urology (17), Nurse Practitioner (14) and General Surgery (1). Of these, 6 practice at this address and 31 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 Urology, University Faculty Practice Corporation was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 Urology, University Faculty Practice Corporation · NPI 1538114707
Urology organization in East Setauket, New York. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1538114707 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Wayne Waltzer, CHAIR PERSON
## Practice location
- **Address:** 24 RESEARCH WAY, SUITE 500, East Setauket, NY 11733-3487
- **Phone:** (631) 444-6270
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (17), Nurse Practitioner (14), General Surgery (1); 6 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1538114707/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2019
- **Other identifiers:** Medicaid 00778890 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1538114707) · Data from the CMS NPPES public registry.