Individual ProviderSimran ButtarEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address101 Nicolls Rd, Stony Brook, NY 11794-5002(631) 444-2499PECOS EnrollmentBased on the most recent information from CMS, provider Simran Buttar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1023453172Provider TypeIndividualFull NameButtar, SimranTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/2/2013Last Updated3/23/2023Contact InformationPractice LocationPractice Address101 Nicolls Rd, Stony Brook, NY 11794-5002Phone(631) 444-2499FaxUnlisted FaxMailing LocationMailing Address101 Nicolls Rd, Stony Brook, NY 11794-0001Phone(631) 444-2499Fax(215) 955-2526Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense284045New YorkCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMD457600PennsylvaniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer