Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Tyler Bates

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487971164

Andrew Tyler Bates is a General Surgery in Stony Brook, New York. Qualified in 2010, 16 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook Medical Ctr Health Sciences Tower T18-040
Stony Brook, NY 11794-0001
Phone: (631) 450-0167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 266055 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487971164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2010
Last updated in NPPESOctober 26, 2015
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook