Dr. Douglas Matthew Petraco is a East Setauket, New York based male orthopedic surgeon with 32 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Js Weill Medical College, Cornell University in 1992. He is also affiliated with hospitals like St Charles Hospital and St Catherine Of Siena Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Douglas Matthew Petraco is 195619 for Orthopedic Surgery in New York.
Dr. Douglas Matthew Petraco deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Dr. Douglas Matthew Petraco speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Adult Reconstructive Orthopaedic Surgery
Credentials:
MD
Experience:
32+ years
Medical School Attended:
Js Weill Medical College, Cornell University
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
6 Technology Dr Ste 100, East Setauket, New York, 11733-4079
Phone:
631-689-6698
Fax:
631-751-5548
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496889362
Enrollment ID:
I20100813000411
NPI Number:
1922021476
NPI Enumeration Date:
25 Jul, 2006
NPI Last Update On:
18 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Douglas Matthew Petraco are as mentioned below.
License Number
Specialization
State
Status
195619
Orthopedic Surgery
New York
Primary
195619
Adult Reconstructive Orthopaedic Surgery
New York
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
St Charles Hospital (330246)
Port jefferson, NY
Acute Care Hospital
St Catherine Of Siena Hospital (330401)
Smithtown, NY
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Douglas Matthew Petraco is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthopedic Assoc Of Long Island Physicians And Medical Group Pllc (6204169147)
47
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Douglas Matthew Petraco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02011645
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6 Technology Dr Ste 100, East Setauket, New York
Zip:
11733-4079
Phone Number:
631-689-6698
Fax Number:
631-751-5548
Patients can reach Dr. Douglas Matthew Petraco at 6 Technology Dr Ste 100, East Setauket, New York or can call to book an appointment on 631-689-6698. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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