MEDICARE: HART ORTHOPEDIC SURGERY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1871445528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HART ORTHOPEDIC SURGERY, P.C.

Provider Business Mailing Address
First Line	:	2500 NESCONSET HWY BLDG 11
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-2555
Country	:	US
Telephone Number	:	833-374-2787
Fax Number	:	516-798-9070

Provider Business Practice Location Address
First Line	:	2500 NESCONSET HWY BLDG 11
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-2555
Country	:	US
Telephone Number	:	833-374-2787
Fax Number	:	516-798-9070

Authorized Official
Title or Position	:	CEO
Name	:	JEFFREY D HART
Credential	:	DO
Telephone Number	:	631-901-9816

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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