STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTIC
NPI 1982659470
Family Medicine in Stony Brook, NY
About Stony Brook Family And Preventive Medicine, University Faculty Practic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTIC (NPI 1982659470) is a healthcare organization registered as a family medicine in Stony Brook, New York and active in the NPI registry since May 2006. The organization lists Iris A Granek, Chairperson, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stony Brook Family And Preventive Medicine, University Faculty Practic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
55Medicare enrollment records show 55 clinicians reassign Medicare billing to Stony Brook Family And Preventive Medicine, University Faculty Practic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 55Stony Brook, NY 11794
Stony Brook, NY 11794
Stony Brook, NY 11794
Stony Brook, NY 11794
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 Stony Brook Family And Preventive Medicine, University Faculty Practic's NPI number?
The NPI number for Stony Brook Family And Preventive Medicine, University Faculty Practic is 1982659470. It was assigned to this organization in the NPPES registry on May 23, 2006.
Where is Stony Brook Family And Preventive Medicine, University Faculty Practic located?
Stony Brook Family And Preventive Medicine, University Faculty Practic is located at Suny @ Stony Brook Hsc, L4, Rm 050, Stony Brook, NY 11794. The listed phone number is (631) 444-2306.
What is Stony Brook Family And Preventive Medicine, University Faculty Practic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stony Brook Family And Preventive Medicine, University Faculty Practic enrolled in Medicare?
Yes. Stony Brook Family And Preventive Medicine, University Faculty Practic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stony Brook Family And Preventive Medicine, University Faculty Practic?
According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 8 Medicare specialties reassign their Medicare billing to Stony Brook Family And Preventive Medicine, University Faculty Practic. 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. The largest specialties are Family Practice (30), Emergency Medicine (11) and Nurse Practitioner (6). Of these, 1 practice at this address and 39 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stony Brook Family And Preventive Medicine, University Faculty Practic was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Stony Brook Family And Preventive Medicine, University Faculty Practic · NPI 1982659470
Family Medicine organization in Stony Brook, New York. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1982659470 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Iris Granek, CHAIRPERSON
## Practice location
- **Address:** SUNY @ STONY BROOK, HSC, L4, RM 050, Stony Brook, NY 11794-0001
- **Phone:** (631) 444-2306
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 55 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (30), Emergency Medicine (11), Nurse Practitioner (6); 1 practice at this address and 39 within 10 miles; [full list](https://npiprofile.com/npi/1982659470/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2017
- **Other identifiers:** Medicaid 00549880 (NY); Medicare PIN W91121 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1982659470) · Data from the CMS NPPES public registry.