Jennifer Castelli (NPI# 1184665374, PAC ID# 0749291730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1184665374 |
PAC ID by PECOS | 0749291730 |
Professional Enrollment ID | I20060504001000 |
Full Name | Jennifer Castelli |
Organization Legal Name | STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR |
Address |
14 Technology Dr East Setauket NY 11733-3472 |
Phone Number | 6314444233 |
Gender | F |
Credential | PA |
Graduation Year | 2004 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7810886231 |
Number of Group Practice Members | 42 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
14 Technology Dr, East Setauket, NY 11733-3472 | 6314444233 | STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR |
Organization Legal Name | STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR |
Physicians | 40 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas Divaris | Orthopedic Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Grace R Grandville | Physician Assistant | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
James Nicholson | Orthopedic Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Melissa Lavoie | Physician Assistant | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Timur Yasin | Physical Medicine and Rehabilitation | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Megan C Paulus | Orthopedic Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Stephen Kottmeier | Orthopedic Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Steven P Sampson | Hand Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Brian D Cruickshank | Family Medicine | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Lisa L Riccio | Podiatry | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Street Address |
14 TECHNOLOGY DR |
City | EAST SETAUKET |
State | NY |
Zip | 11733-3472 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicholas Divaris | Orthopedic Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Grace R Grandville | Physician Assistant | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
James Nicholson | Orthopedic Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Eric I Mitchnick | Urology | Metropolitan Lithotriptor Associates PC | 14 Technology Dr, Suite 14, East Setauket, NY 11733-3469 |
Michael Kleeman | Urology | Metropolitan Lithotriptor Associates PC | 14 Technology Dr, Suite 14, East Setauket, NY 11733-3469 |
Nardeen Mickail | Infectious Disease | Eastern Infectious Disease Associates, P.C. | 14 Technology Dr, Suite 10, East Setauket, NY 11733-3469 |
Manuel Grinberg | Urology | Metropolitan Lithotriptor Associates PC | 14 Technology Dr, Suite 14, East Setauket, NY 11733-3469 |
Melissa Lavoie | Physician Assistant | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Timur Yasin | Physical Medicine and Rehabilitation | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Megan C Paulus | Orthopedic Surgery | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 14 Technology Dr, East Setauket, NY 11733-3472 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Bernice Kornfield Premisler | Clinical Social Worker | 764 Route 25a 8, East Setauket, NY 11733-1231 | |
Suzanne J Ennis | Clinical Social Worker | 5 Blueberry Ridge Rd, Setauket, NY 11733-1503 | |
Susan G Simms | Clinical Social Worker | 16 Storybook Ln, East Setauket, NY 11733-1727 | |
Kathleen Rogers | Clinical Social Worker | 3 Fox Hollow Rd, East Setauket, NY 11733-1811 | |
Natalie L Shapiro | Clinical Social Worker | 14 Thornwood Way, East Setauket, NY 11733-1825 | |
Charles Levine | Chiropractic | 151 Gnarled Hollow Rd, East Setauket, NY 11733-1955 | |
James E Townsend | Psychiatry | 100 S Jersey Ave, Suite 1, East Setauket, NY 11733-2035 | |
Nancy M Rosenberg | Clinical Social Worker | 100 S Jersey Ave, Unit 1, East Setauket, NY 11733-2035 | |
John A Ippolito | Rheumatology | 100 S Jersey Ave, Unit 19, Setauket, NY 11733-2036 | |
Christopher Ng | Family Medicine | 100 S Jersey Ave, Suite 14, Setauket, NY 11733-2036 | |
Find all physicians in zip 11733 |
City | EAST SETAUKET |
Zip Code | 11733 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | EAST SETAUKET + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.