LISA TRENTINO (NPI# 1003385352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003385352 |
| Entity Type | Individual |
| Full Name | LISA TRENTINO |
| Credential | PA |
| Practice Address |
2500 Nesconset Hwy Bldg 15h Stony Brook NY 11790 |
| Mailing Address |
2500 Nesconset Hwy Bldg 15h Stony Brook NY 11790-2554 |
| Practice Telephone | 6316893005 |
| Mailing Telephone | 6316893005 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 022979 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 NESCONSET HWY BLDG 15H |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649395229 | William Richard Gray | Physician Assistant | 2500 Nesconset Hwy Bldg 15h, Stony Brook, NY 11790-2554 | 2007-03-20 |
| 1275807448 | Nicole Hernandez | Physician Assistant | 2500 Nesconset Hwy Bldg 15h, Stony Brook, NY 11790-2554 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1497393565 | Cecelia Capozzoli | Physician Assistant | 2500 Nesconset Hwy Bldg 9, Stony Brook, NY 11790-2553 | 2019-12-19 |
| 1235624776 | Katherine Ann Walsh | Physician Assistant | Hsc T12, Room 080, Stony Brook, NY 11794-8122 | 2018-06-27 |
| 1831631779 | Michelle Jack | Physician Assistant | Stony Brook Univ Hosp 101 Nicolls Road Hsc L-4 Rm050, Stony Brook, NY 11794-4927 | 2016-11-09 |
| 1689125312 | Jane Moldovan | Physician Assistant | Stony Brook University Hosp Dept Ofem, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2016-10-18 |
| 1003284431 | Elizabeth Twite | Physician Assistant | Stony Brook Medicine Dept of E M, 100 Nicolls Road, Stony Brook, NY 11794-8350 | 2015-09-02 |
| 1699177337 | Stephanie Gentile | Physician Assistant | Dept of Emergency Medicine Hsc Level 4 Room, Stony Brook, NY 11794-8350 | 2014-09-25 |
| 1558785816 | Michael Joseph Bulzomi | Physician Assistant | Stony Brook Univ Hosp Dept of E M, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2014-02-06 |
| 1841621265 | Lauren Kelly Walsh | Physician Assistant | Stony Brook University Dept of Orthopedics, Hsc T18, Room 080, Stony Brook, NY 11794-8181 | 2013-12-11 |
| 1477802965 | Jessica R Themak | Physician Assistant | Stony Brook Emergency Physicians, Ufpc, Hsc L4 Room 080, Stony Brook, NY 11794-8350 | 2012-08-30 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.