1. Home
  2. Directory
  3. New York
  4. Stony Brook
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

GREGORY H MOONEY
NPI 1710484720
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 07, 2018PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-2020(631) 444-2894 Get Directions Write a Review

NPPES record last updated: April 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gregory H Mooney NPPES

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

GREGORY H MOONEY (NPI 1710484720) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710484720
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGREGORY H MOONEY
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-2020 · Fax (631) 444-2894
Phone(631) 444-2020
Fax(631) 444-2894
Sole ProprietorNo
Enumeration DateApril 7, 2018
✔ NPI 1710484720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICOLLS RD, Stony Brook, NY 11794
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory H Mooney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gregory Mooney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mmc Pediatrics Faculty Practice
50 mi
Pediatrics
6010 BAY PKWY STE 902
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 137 clinicians in this Medicare group
NPI 1285648154 (718) 283-7500
Maimonides Faculty Practice Plan
50 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Gregory Mooney's NPI number?

The NPI number for Gregory Mooney is 1710484720. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Gregory Mooney located?

Gregory Mooney practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-2020.

What is Gregory Mooney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gregory Mooney enrolled in Medicare?

Yes. Gregory Mooney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gregory Mooney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Mooney reassigns Medicare benefits to 2 organizations: Mmc Pediatrics Faculty Practice (Brooklyn, NY) and Maimonides Faculty Practice Plan (Brooklyn, NY). Each 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 Gregory Mooney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gregory Mooney was last updated on April 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.