Douglas Matthew Petraco (NPI# 1922021476, PAC ID# 5496889362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1922021476 |
| PAC ID by PECOS | 5496889362 |
| Professional Enrollment ID | I20100813000411 |
| Full Name | Douglas Matthew Petraco |
| Organization Legal Name | ORTHOPEDIC ASSOCIATES OF LONG ISLAND, LLC |
| Address |
6 Technology Dr Suite 100 East Setauket NY 11733-4079 |
| Phone Number | 6316894166 |
| Gender | M |
| Medical School | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1992 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4880592419 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 | 6316894166 | ORTHOPEDIC ASSOCIATES OF LONG ISLAND, LLC |
| 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 | 6316896698 | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC |
| 6144 Route 25a, Suite 5, Wading River, NY 11792-2008 | 6316896698 | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC |
| Organization Legal Name | ORTHOPEDIC ASSOCIATES OF LONG ISLAND, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan N Chen | Orthopedic Surgery | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| David A Cesarino | Physician Assistant | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| John J Brennan | Orthopedic Surgery | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Sean K Ocame | Physician Assistant | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Gregg J Jarit | Orthopedic Surgery | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Sathish J Subbaiah | Neurosurgery | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Anthony Cappellino | Orthopedic Surgery | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Street Address |
6 TECHNOLOGY DR SUITE 100 |
| City | EAST SETAUKET |
| State | NY |
| Zip | 11733-4079 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Sileo | Orthopedic Surgery | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Morgan N Chen | Orthopedic Surgery | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| David A Cesarino | Physician Assistant | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Matthew Robert Wagner | Orthopedic Surgery | Chs Physician Partners PC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| David J Garry | Obstetrics/gynecology | University Associates In Obstetrics and Gynecology, University Faculty | 6 Technology Dr, East Setauket, NY 11733-4079 |
| John J Brennan | Orthopedic Surgery | Orthopedic Associates of Long Island, LLC | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Richard E Georges | Physician Assistant | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Alyssa G Nordmann | Physician Assistant | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Mudasser R Javed | Podiatry | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| Timothy S Lozier | Physician Assistant | Orthopedic Assoc of Long Island Physicians and Medical Group Pllc | 6 Technology Dr, Suite 100, East Setauket, NY 11733-4079 |
| 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 | ORTHOPEDIC SURGERY |
| City + Specialty | EAST SETAUKET + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Douglas Matthew Petraco.
| 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.