JEREMAE FAJARDO NP
NPI 1841039591
Nurse Practitioner - Acute Care in Stony Brook, NY

Active since May 22, 2024PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremae Fajardo Np NPPES

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

JEREMAE FAJARDO NP (NPI 1841039591) is an individual acute care provider in Stony Brook, New York, licensed in New York (432719) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841039591
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJEREMAE FAJARDOCredential: NP
Location Address101 NICOLLS RDStony Brook, NY 11794-2151
Mailing Address187 Oyster Bay RdLocust Valley, NY 11560-2323 · (915) 593-9081
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 22, 2024
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
NPI 1841039591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 432719
101 NICOLLS RD, Stony Brook, NY 11794

Other Names 1

Former Name (1)Jeremae Gonzales

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeremae Fajardo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587104237
PECOS Enrollment IDI20240909001502
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Jeremae Fajardo's NPI number?

The NPI number for Jeremae Fajardo is 1841039591. It was assigned to this individual provider in the NPPES registry on May 22, 2024. The provider is also known as Jeremae Gonzales.

Where is Jeremae Fajardo located?

Jeremae Fajardo practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Jeremae Fajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jeremae Fajardo enrolled in Medicare?

Yes. Jeremae Fajardo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jeremae Fajardo affiliated with any hospitals?

According to CMS data, Jeremae Fajardo is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jeremae Fajardo was last updated on August 13, 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.