STONY BROOK UNIVERSITY HOSPITAL


Address: Stony Brook Hospital Nicholls Rd, Cardiology Department, Stony Brook, NY 11794-0001
Phone: 6314441066

STONY BROOK UNIVERSITY HOSPITAL (NPI# 1215181680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215181680
Entity Type Organization
Organization Name STONY BROOK UNIVERSITY HOSPITAL
Practice Address Stony Brook Hospital Nicholls Rd
Cardiology Department
Stony Brook
NY 11794-0001
Mailing Address 574 Moriches Rd
Saint James
NY 11780-1367
Practice Telephone 6314441066
Practice Fax Number 6314441054
Mailing Telephone 6314441066
Mailing Fax Number 6314441054
Enumeration Date 2008-11-11
Last Update Date 2008-11-11
Authorized Official Name MS. KATHALEEN FRANCES DONNELLY (NURSE PRACTITIONER/CARDIOLOGY)
Authorized Official Telephone 6314441066
Authorized Official Credential NURSE PRACTITION
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124224118 Stony Brook University Hospital Psychiatry & Neurology Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794-8121 2007-06-26
1548517410 Stony Brook University Hospital General Acute Care Hospital 101 Nicolls Rd, Stony Brook, NY 11794-0001 2012-08-10

Other Data Sources

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

Office Location

Street Address STONY BROOK HOSPITAL NICHOLLS RD
CARDIOLOGY DEPARTMENT
City STONY BROOK
State NY
Zip Code 11794-0001

Providers in the same zip code

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 Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942417399 Stony Brook Medical Center General Acute Care Hospital T 19 Hsc Rm 080, Stony Brook, NY 11794-8191 2007-05-16
1255548699 Stony Brook Medical Center General Acute Care Hospital T19 080 Health Sciences Ctr, Stony Brook, NY 11794-0001 2007-05-16
1245364223 Mary Immaculate Hospital General Acute Care Hospital 24 Night Heron Dr, Stony Brook, NY 11790-1108 2007-03-14
1225023963 University Hospital Stony Brook General Acute Care Hospital University Medical Center, Division of Cardiothoracic Surgery T19,hsc, Room 080, Stony Brook, NY 11794-0001 2005-09-19
1679626063 Stony Brook University Medical Center General Acute Care Hospital Nicolls Rd, Stony Brook, NY 11794-0001 2007-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740658277 Saint Barnabas Health System General Acute Care Hospital 2132 Wallace Ave, Apt-242, Bronx, NY 10462-2573 2015-09-15
1124412101 Matthew Scott Stephany General Acute Care Hospital 356 Brush Creek Dr, Rochester, NY 14612-2270 2015-03-26
1235522764 Lei Meng General Acute Care Hospital 39 Claremont Ave, Apt 82, New York, NY 10027 2015-03-09
1225437650 37th Ave Pharmacy Inc General Acute Care Hospital 9507 37th Ave, Jackson Heights, NY 11372-8024 2014-08-21
1326454372 Liza John General Acute Care Hospital 97 Beaumont Cir, Apt-1, Yonkers, NY 10710-2032 2014-07-09
1699106187 Nslij General Acute Care Hospital 1999 Marcus Ave Ste 106c, New Hyde Park, NY 11042-1028 2013-12-09
1588005466 Newyork Presbyterian Hospital General Acute Care Hospital 109 Alpine Rd, Yonkers, NY 10710-2022 2013-07-08
1548601578 New York Community Hospital, Brooklyn General Acute Care Hospital 8922 133rd St, 2nd Floor, Richmond Hill, NY 11418-2813 2013-07-06
1144565177 Suny Downstate Medical Center General Acute Care Hospital 2 Fuschetto Ct, Farmingdale, NY 11735-4262 2012-12-03
1417205931 Harlem Hospital General Acute Care Hospital 506 Lenox Avenue, 14th Floor, Room 106, New York, NY 10037 2012-08-15
Find all providers with the same taxonomy

Competitor

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City STONY BROOK
Zip Code 11794

Improve Information

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Dataset Information

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.

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