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STONEYWELL MEDICAL, PC
NPI 1770725376
Specialist in Brooklyn, NY

Active since March 27, 2009
447 ATLANTIC AVE, BROOKLYN, NY 11217(631) 462-1736(631) 462-2266 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stoneywell Medical, Pc NPPES

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

STONEYWELL MEDICAL, PC (NPI 1770725376) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since March 2009. The organization lists Spencer Lubin, President, as its authorized official.

NPPES Registry Identity

NPI1770725376
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSTONEYWELL MEDICAL, PC
Location Address447 ATLANTIC AVEBrooklyn, NY 11217-1702
Mailing Address7 Stonywell CtDix Hills, NY 11746-5421 · (631) 462-1736 · Fax (631) 462-2266
Phone(631) 462-1736
Fax(631) 462-2266
Organization SubpartNo
Authorized OfficialSpencer LubinPresident · (631) 462-1736
Enumeration DateMarch 27, 2009
✔ NPI 1770725376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
447 ATLANTIC AVE, Brooklyn, NY 11217
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stoneywell Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20120406000030Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stoneywell Medical, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Spencer Lubin, MD
General Practice
NPI 1285666420
447 ATLANTIC AVE
Brooklyn, NY 11217
(631) 462-1736
✔ PECOS✔ Accepts MedicareSame address

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 Stoneywell Medical, PC's NPI number?

The NPI number for Stoneywell Medical, PC is 1770725376. It was assigned to this organization in the NPPES registry on March 27, 2009.

Where is Stoneywell Medical, PC located?

Stoneywell Medical, PC is located at 447 Atlantic Ave, Brooklyn, NY 11217. The listed phone number is (631) 462-1736.

What is Stoneywell Medical, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Stoneywell Medical, PC enrolled in Medicare?

Yes. Stoneywell Medical, PC is registered in the Medicare PECOS enrollment system.

When is Stoneywell Medical, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Stoneywell Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Stoneywell Medical, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stoneywell Medical, PC was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.