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

Individual provider Physician Assistant · NPI 1578220455

Matthew Merensky, PA-C is a Physician Assistant in Lake Grove, New York. Qualified in 2023, 3 years ago. Practices with Stony Brook Orthopaedic Associates, University Faculty Practice Corpor, a 50-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4 Smith Haven Mall Ste 103
Lake Grove, NY 11755-1219
Phone: (631) 444-4233
Fax: (631) 444-4217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030424-01 (NY)

Record details

NPI number1578220455
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 26, 2021
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Stony Brook Orthopaedic Associates, University Faculty Practice Corpor — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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