STONY BROOK GYNECOLOGY & OBSTETRICS, P.C.
NPI 1770550477
Obstetrics & Gynecology in Setauket, NY

Active since March 02, 2006CLIA 33D2089562 · Microscopy
200 MAIN ST, SETAUKET, NY 11733(631) 751-9595(631) 751-2322 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 26, 2024, Jul 3, 2018, Dec 14, 2015 and 1 more (4 updates tracked since 2015).

About Stony Brook Gynecology & Obstetrics, P.c. NPPES

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

STONY BROOK GYNECOLOGY & OBSTETRICS, P.C. (NPI 1770550477) is a healthcare organization registered as an obstetrics & gynecology in Setauket, New York and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Mark I Funt, President, as its authorized official.

NPPES Registry Identity

NPI1770550477
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSTONY BROOK GYNECOLOGY & OBSTETRICS, P.C.
Location Address200 MAIN STSetauket, NY 11733
Mailing Address45 Research Way Ste 105East Setauket, NY 11733-6401 · (631) 675-2125 · Fax (631) 675-2624
Fax(631) 751-2322
Organization SubpartNo
Authorized OfficialMark I FuntPresident · (631) 751-9595
Enumeration DateMarch 2, 2006
Last NPPES UpdateApril 26, 20244 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
NPI 1770550477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

200 MAIN ST, Setauket, NY 11733

Other Identifiers 1

OtherWEP881NY · Ptan

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2089562

Stony Brook Gynecology & Obstetrics A Location Of Univ Assoc In Obgyn · Bohemia, NY
Active · expires Mar 26, 2027
CLIA Number33D2089562
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Julie A. Welischar
Laboratory Phone(631) 751-9595
Laboratory LocationStony Brook Gynecology & Obstetrics A Location Of Univ Assoc In Obgyn774 Sycamore Avenue, Bohemia, NY 11716
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

Pediatrics (Adolescent Medicine)
200 MAIN ST, SUITE 6
SETAUKET, NY 11733
Dentist (General Practice)
200 MAIN ST
EAST SETAUKET, NY 11733
Obstetrics & Gynecology
200 MAIN ST, SUITE 2
SETAUKET, NY 11733
Dermatology
200 MAIN ST, SUITE 5
SETAUKET, NY 11733
Family Medicine
200 MAIN ST, SUITE 5
SETAUKET, NY 11733
Obstetrics & Gynecology
200 MAIN ST, SUITE2
SETAUKET, NY 11733
Obstetrics & Gynecology (Hospice and Palliative Medicine)
200 MAIN ST, SUITE 2
SETAUKET, NY 11733
Nurse Practitioner (Women's Health)
200 MAIN ST, SUITE 2
SETAUKET, NY 11733

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770550477, enumerated as an "organization" on March 02, 2006.

The provider is located at 200 MAIN ST SETAUKET, NY 11733 and the phone number is (631) 751-9595.

Obstetrics & Gynecology with taxonomy code 207V00000X.

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