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

Mr. Matthew Petersen, PA

Individual provider Urology Physician · NPI 1710062351

Mr. Matthew Petersen, PA is a Physician Assistant in East Setauket, New York. Qualified in 2006, 20 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.

Years since qualifying
20
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

24 Research Way Ste 500
East Setauket, NY 11733
Phone: (631) 444-1910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 011361 (NY)

Record details

NPI number1710062351
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 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 East Setauket