STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
NPI 1538114707
Urology in East Setauket, NY

NPI Status: Active since May 24, 2006

Contact Information

24 RESEARCH WAY
SUITE 500
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 444-6270

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  • Organization
  • Urology
  • CLIA Number: 33D0692170
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION

This page provides the complete NPI Profile along with additional information for Stony Brook Urology, University Faculty Practice Corporation, a provider established in East Setauket, New York operating as a Urology. The healthcare provider is registered in the NPI registry with number 1538114707 assigned on May 2006. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Wayne Waltzer M.d. (Chair Person)

NPI
1538114707
Provider Name
STONY BROOK UROLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
Entity Type
Organization
Location Address
24 RESEARCH WAY SUITE 500 EAST SETAUKET, NY 11733
Location Phone
(631) 444-6270
Mailing Address
PO BOX 1554 STONY BROOK, NY 11790
Mailing Phone
(631) 444-1252
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2006
Last Update Date
06-20-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WAYNE WALTZER M.D.

Authorized Official Title
CHAIR PERSON
Authorized Official Phone
(631) 444-1252

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00778890MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0692170
Facility Type
Physician Office
Certificate Effective Date
July 29, 2010
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. EVAN C. JONES
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Stony Brook Urology, University Faculty Practice Corporation after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538114707, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 2 + 1 + 8 + 7 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1538114707.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
24 RESEARCH WAY, SUITE 200
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Physician Assistant
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Nurse Practitioner
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Nurse Practitioner
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Physician Assistant (Surgical)
24 RESEARCH WAY, SUITE 500
SETAUKET, NY 11733
Plastic Surgery
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Surgery (Plastic and Reconstructive Surgery)
24 RESEARCH WAY
SETAUKET, NY 11733
Plastic Surgery
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Physician Assistant
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Nurse Practitioner
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
EAST SETAUKET, NY 11733
Neurological Surgery
24 RESEARCH WAY, SUITE 200
EAST SETAUKET, NY 11733
Radiology (Diagnostic Radiology)
24 RESEARCH WAY
EAST SETAUKET, NY 11733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538114707, enumerated as an "organization" on May 24, 2006.

The provider is located at 24 RESEARCH WAY SUITE 500 EAST SETAUKET, NY 11733 and the phone number is (631) 444-6270.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.