DR. WILLIAM JOHN JUDE ENGELLENNER M.D. NPI 1659363364

NPI Information

  • NPI: 1659363364
  • Provider Name: DR. WILLIAM JOHN JUDE ENGELLENNER, M.D.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 MONTAUK HWY
    WEST ISLIP, NY
    ZIP 11795
  • Phone: (631) 376-3000

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NPI Details

DR. William John Jude Engellenner, M.D. is an anatomic pathology and clinical pathology pathology in West Islip, NY with 39 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. William John Jude Engellenner, M.D. NPI is 1659363364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

1000 MONTAUK HWY
WEST ISLIP, NY
ZIP 11795-927
Phone: (631) 376-3000

The NPI 1659363364 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)

The enumeration date for this NPI number is 8/18/2005 and was last updated on 9/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology182397NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151R371MEDICARE PINNEW YORK
260H361MEDICARE PINNEW YORK
351R361MEDICARE PINNEW YORK
451R362MEDICARE PINNEW YORK
551R363MEDICARE PINNEW YORK
6F54510MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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