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

Dr. Justina Tam, MD

Individual provider Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · NPI 1073932521

Dr. Justina Tam, MD is an Urology in Stony Brook, New York. Qualified in 2014, 12 years ago. Practices with Stony Brook Urology University Faculty Practice Corporation, a 37-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Washington.

Years since qualifying
12
Licensed in
NY, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook Urology Hsc T-9 Rm 040
Stony Brook, NY 11794-0001
Phone: (631) 444-6270
Fax: (631) 444-7620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (primary) Taxonomy 2088F0040X · Licence 318701 (NY)
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Taxonomy 2088F0040X · Licence FE61076599 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073932521
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing addressStony Brook Medicine - Department Of Urology, Hsc Level 9 - Room 040, Stony Brook, NY 11794

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Stony Brook Urology University Faculty Practice Corporation — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Stony Brook