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

Keith Alan Chadwick, MD, MS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487091328

Keith Alan Chadwick, MD, MS is an Otolaryngology in Lake Grove, New York. Graduated from Virginia Commonwealth University, School of Medicine in 2013, 13 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York, Oregon and Virginia.

Years since qualifying
13
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
NY, OR, VA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

4 Smith Haven Mall Ste 200
Lake Grove, NY 11755-1219
Phone: (631) 444-4121
Fax: (631) 444-4189
Show map & directions

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

Additional practice locations (1)

  • 37 Research Way, East Setauket, NY 11733-3465 — (631) 444-4545

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 294203 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PG168015 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116025714 (VA)

Record details

NPI number1487091328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorNo
NPI enumeratedJune 2, 2013
Last updated in NPPESFebruary 15, 2026
Certification dateFebruary 15, 2026
Mailing addressPo Box 1559, Stony Brook, NY 11790-0989

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Grove