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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: August 16, 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
Phone(631) 751-9595
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
Open in Google Maps ↗

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.

DR. RICHARD LAWRENCE MILLER M.D.
Dermatology
200 MAIN ST, SUITE 5
SETAUKET, NY 11733
Suffolk County (631) 751-7070
DR. MEGAN LOCHNER M.D.
Obstetrics & Gynecology
200 MAIN ST, SUITE2
SETAUKET, NY 11733
Suffolk County (631) 751-9595
DR. IRWIN L. SCHWARTZ M.D.
Pediatrics (Adolescent Medicine)
200 MAIN ST, SUITE 6
SETAUKET, NY 11733
Suffolk County (631) 751-7676
BRIAN M OKEEFE DMD
Dentist (General Practice)
200 MAIN ST
EAST SETAUKET, NY 11733
Suffolk County (631) 751-3993
IRWIN L. SCHWARTZ, MD, PC
Pediatrics (Adolescent Medicine)
200 MAIN ST, SUITE 6
SETAUKET, NY 11733
Suffolk County (631) 751-7676
RICHARD L MILLER M.D.P.C..
Dermatology
200 MAIN ST, SUITE 5
SETAUKET, NY 11733
Suffolk County (631) 751-7070
MELANIE ANN VAN SISE M.D.
Obstetrics & Gynecology (Hospice and Palliative Medicine)
200 MAIN ST, SUITE 2
SETAUKET, NY 11733
Suffolk County (631) 751-9595
SUSAN FISH N.P.
Obstetrics & Gynecology
200 MAIN ST, SUITE 2
SETAUKET, NY 11733
Suffolk County (631) 751-9595

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 Gynecology & Obstetrics, P.C.'s NPI number?

The NPI number for Stony Brook Gynecology & Obstetrics, P.C. is 1770550477. It was assigned to this organization in the NPPES registry on March 2, 2006.

Where is Stony Brook Gynecology & Obstetrics, P.C. located?

Stony Brook Gynecology & Obstetrics, P.C. is located at 200 Main St, Setauket, NY 11733. The listed phone number is (631) 751-9595.

What is Stony Brook Gynecology & Obstetrics, P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Stony Brook Gynecology & Obstetrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2089562) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stony Brook Gynecology & Obstetrics, P.C. was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.