DR. JACK OATS (NPI# 1114921558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114921558 |
| Entity Type | Individual |
| Full Name | DR. JACK OATS |
| Credential | M.D. |
| Practice Address |
4 Technology Dr Suite 150 East Setauket NY 11733-4080 |
| Mailing Address |
825 E Gate Blvd Ste 111 Garden City NY 11530-2124 |
| Practice Telephone | 6319411400 |
| Practice Fax Number | 6319411476 |
| Mailing Telephone | 5168045200 |
| Mailing Fax Number | 5162406540 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 170024 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01550090 | 05 |
| Street Address |
4 TECHNOLOGY DR SUITE 150 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346774122 | Setauket Medical, PC | Internal Medicine | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 | 2017-04-18 |
| 1104287432 | Setauket Surgery, PC | Surgery | 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 | 2016-03-15 |
| 1902279029 | Lisa Ambrose | Nurse Practitioner | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 | 2015-11-11 |
| 1376940742 | Blue Harbor Medical PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-12-01 |
| 1437565520 | Jaclyn N Mascia | Dietitian, Registered | 4 Technology Dr, Suite 250, East Setauket, NY 11733-4080 | 2014-07-09 |
| 1184030918 | Karim A Paracha Physician PC | Surgery | 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 | 2014-07-01 |
| 1255741153 | Harbor View Medical Services, P.C. | Surgery | 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 | 2014-04-30 |
| 1437582103 | Shelly Beth Waldman | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-08-16 |
| 1598101180 | Vicki Kumari Masson | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-05-22 |
| 1073885604 | Cristin Rose Gengler | Nurse Practitioner | 4 Technology Dr, East Setauket, NY 11733-4080 | 2012-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860633 | Tehmina Haque | Ophthalmology | 33 Research Way, Suite 13, East Setauket, NY 11733 | 2006-10-26 |
| 1811939101 | Fadi El-baba | Ophthalmology | 4 Technology Dr Ste 150, East Setauket, NY 11733-4085 | 2006-06-12 |
| 1548550254 | Sarah Brown Weissbart | Ophthalmology | 33 Research Way, East Setauket, NY 11733-5109 | 2011-04-14 |
| 1306088521 | Khurram Mahmood Chaudhary | Ophthalmology | 33 Research Way, East Setauket, NY 11733-3489 | 2009-04-02 |
| 1194900365 | Alexander Llinas | Ophthalmology | 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 | 2008-01-07 |
| 1164625133 | Azin Abazari | Ophthalmology | 33 Research Way, 13, East Setauket, NY 11733-3489 | 2007-06-07 |
| 1104036326 | Nariman Boyle | Ophthalmology | 33 Research Way, Suite 13, East Setauket, NY 11733-3489 | 2007-05-23 |
| 1396868527 | Vincent P Basilice | Ophthalmology | 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 | 2007-04-10 |
| 1306931373 | Debra A Messina | Ophthalmology | 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 | 2006-10-04 |
| 1881603884 | Patricia J Pahk | Ophthalmology | 33 Research Way, Suite 13, East Setauket, NY 11733-3489 | 2006-08-07 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.