STONY BROOK UNIVERSITY HOSPITAL (NPI# 1124224118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124224118 |
| Entity Type | Organization |
| Organization Name | STONY BROOK UNIVERSITY HOSPITAL |
| Other Organization Name | DEPARTMENT OF NEUROLOGY |
| Practice Address |
Nicolls Road Hsc T12 Room 020 Stony Brook University Hospital Stony Brook NY 11794-8121 |
| Practice Telephone | 6314442599 |
| Practice Fax Number | 6314444743 |
| Mailing Telephone | 6314442599 |
| Mailing Fax Number | 6314444743 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA COYLE (ACTING CHAIR) |
| Authorized Official Telephone | 6314442599 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Department of Neurology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215181680 | Stony Brook University Hospital | General Acute Care Hospital | Stony Brook Hospital Nicholls Rd, Cardiology Department, Stony Brook, NY 11794-0001 | 2008-11-11 |
| 1548517410 | Stony Brook University Hospital | General Acute Care Hospital | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2012-08-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STONY BROOK UNIVERSITY HOSPITAL | Nicholls Rd & East Loop Rd, Stony Brook, NY 11794-0001 |
| Street Address |
NICOLLS ROAD HSC T12 ROOM 020 STONY BROOK UNIVERSITY HOSPITAL |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8121 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936256 | Ryan Kyle Jones | Psychiatry & Neurology | Stony Brook Health Sciences Center T 12 020, 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2016-04-01 |
| 1437578127 | Mendelsohn Medical, Pllc | Psychiatry & Neurology | 52 Hillside Rd, Stony Brook, NY 11790-1020 | 2014-04-10 |
| 1932469533 | Yana Krutoshinskaya | Psychiatry & Neurology | 100 Nicolls Rd # Hsc-t12, Stony Brook, NY 11794-1523 | 2012-05-17 |
| 1760757017 | Benjamin Neil Blond | Psychiatry & Neurology | Sbumc Hsc Level 12, Rm 020, Stony Brook, NY 11794-8121 | 2012-03-20 |
| 1083859490 | Lourdes Alicia Bello Espinosa | Psychiatry & Neurology | Stony Brook University Hsc T12 020, Stony Brook, NY 11794-0001 | 2008-12-14 |
| 1659544286 | Dennis W Choi | Psychiatry & Neurology | Health Sciences Center 12 020, Stony Brook University Medical Center, Stony Brook, NY 11794-0001 | 2008-04-03 |
| 1467631176 | Archana Purushotham | Psychiatry & Neurology | Neurology Associates, Stony Brook University Hospital Hsc T12-020, Stony Brook, NY 11794-0001 | 2007-10-30 |
| 1104013325 | Andrew M. Goldfine | Psychiatry & Neurology | Neurology Associates of Stony Brook Ufpc, Sbumc, Hsc Level 12, Rm. 020, Stony Brook, NY 11794-8121 | 2007-10-02 |
| 1326238320 | Nurcan Gursoy | Psychiatry & Neurology | Suny-stony Brook Medical Center, Hsc T12-020, Stony Brook, NY 11794-8121 | 2007-07-26 |
| 1265592943 | Guy Schwartz | Psychiatry & Neurology | Hsc T12 020, Stony Brook University, Stony Brook, NY 11794-8121 | 2006-12-11 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on STONY BROOK UNIVERSITY HOSPITAL.
| 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.