DR. ROBERTA SEIDMAN (NPI# 1104869122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104869122 |
| Entity Type | Individual |
| Full Name | DR. ROBERTA SEIDMAN |
| Credential | M.D. |
| Practice Address |
University Hospital Stony Brook NY 11794-0001 |
| Mailing Address |
Po Box 1599 Stony Brook NY 11790-0894 |
| Practice Telephone | 6314442227 |
| Mailing Telephone | 6314442227 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
159602 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01192098 | 05 | |
| NY | EMPIRE BC.BS | 78F961 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619167186 | Roberta Seidman | Social Worker | 127 Ralph Ave, White Plains, NY 10606-3813 | 2007-07-30 |
| Street Address |
UNIVERSITY HOSPITAL |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235177239 | Cynthia Kaplan | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-02 |
| 1306047626 | Tahmeena Ahmed | Pathology | University Hospital, L 2, Room 766, Stony Brook, NY 11790 | 2007-05-31 |
| 1235349549 | Kathleen V Dhundale | Nurse Practitioner | University Hospital, Stony Brook, NY 11794-0001 | 2007-05-23 |
| 1366466815 | Steven Sandoval | Surgery | University Hospital, Stony Brook, NY 11794-0001 | 2006-07-27 |
| 1992732010 | Steven Perlmutter | Radiology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-26 |
| 1811933492 | Dennis Galanakis | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-21 |
| 1902840416 | Clemente` T Roque | Radiology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-15 |
| 1104869072 | Jingxuan Liu | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-14 |
| 1992748099 | Eric Spitzer | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-14 |
| 1366485823 | Philip Kane | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-13 |
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| 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 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757155 | Edward A Klein | Pathology | 101 Nicolls Rd Rm 749, Stony Brook, NY 11794-1928 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323367 | Osama Ahmad Odeh Al Dalahmah | Pathology | 630 West, 168th Street, Department of Pathology and Cell Biology, Room Ph15-124, New York, NY 10032 | 2016-05-12 |
| 1174771109 | Jason Huse | Pathology | 408 E 69th St # Z1319, New York, NY 10021-5604 | 2008-09-03 |
| 1043496953 | Archinto Peter Anzil | Pathology | 943 President St, Brooklyn, NY 11215-1642 | 2008-01-10 |
| 1407901374 | Steven Matthew Erde | Pathology | 272 Mamaroneck Rd, Scarsdale, NY 10583-7238 | 2007-01-23 |
| 1083627582 | Robert John Corona Jr. | Pathology | 750 E. Adams Street, Syracuse, NY 13210 | 2006-08-14 |
| 1659399020 | William I Rosenblum | Pathology | 200 E End Ave, Apt 9i, New York, NY 10128-7831 | 2006-07-17 |
| 1588079511 | Richard Andrew Hickman | Pathology | 622 West 168th Street, Columbia University Irving Medical Center, New York, NY 10032 | 2014-06-28 |
| 1144630518 | Gunnar Hargus | Pathology | 622 W 168th St, New York, NY 10032 | 2014-05-06 |
| 1033531488 | Andrew J. Dwork | Pathology | 1051 Riverside Dr, Room 2913, New York, NY 10032-1007 | 2014-01-18 |
| 1598046534 | Rupal I Mehta | Pathology | 601 Elmwood Ave, University of Rochester Medical Center, Box 626, Rochester, NY 14642-0001 | 2011-09-05 |
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| City | STONY BROOK |
| Zip Code | 11794 |
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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.