STONY BROOK UNIVERSITY MEDICAL CENTER (NPI# 1427497304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427497304 |
| Entity Type | Organization |
| Organization Name | STONY BROOK UNIVERSITY MEDICAL CENTER |
| Practice Address |
6 Technology Dr Setauket NY 11733-4079 |
| Practice Telephone | 6314442790 |
| Practice Fax Number | 6314444784 |
| Mailing Telephone | 6314442790 |
| Mailing Fax Number | 6314444784 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |
| Authorized Official Name | DR. PATRICIA GALVIN-PARTON (SUPERVISOR- GENETICS DIVISION) |
| Authorized Official Telephone | 6314447885 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QG0250X |
Clinic/Center Specialization: Genetics |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811226657 | Stony Brook University Medical Center | General Acute Care Hospital | 2401 Vista View Dr, Farmingville, NY 11738-3029 | 2009-12-07 |
| 1487850251 | Stony Brook University Medical Center | Student in an Organized Health Care Education/Training Program | 2428 Avalon Pines Dr, Coram, NY 11727-5169 | 2007-06-26 |
| 1447410956 | Stony Brook University Medical Center | General Acute Care Hospital | 100 Nicholls Rd, Stony Brook, NY 11794-0001 | 2008-06-10 |
| 1679626063 | Stony Brook University Medical Center | General Acute Care Hospital | Nicolls Rd, Stony Brook, NY 11794-0001 | 2007-01-19 |
| Street Address |
6 TECHNOLOGY DR |
| City | SETAUKET |
| State | NY |
| Zip Code | 11733-4079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326275256 | Michael Demishev | Obstetrics & Gynecology | 6 Technology Dr, Setauket, NY 11733-4079 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 261QG0250X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Genetics |
| An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786312 | 3p Omics, Inc. | Clinic/Center | 3 Forest Ln, Great Neck, NY 11024 | 2018-10-15 |
| 1215410105 | Hudson River Healthcare, Inc. | Clinic/Center | 803 Sterling Place, Brightpoint Brooklyn Health Center, Brooklyn, NY 11216-3903 | 2018-09-07 |
| 1558807859 | Mount Sinai West | Clinic/Center | 1000 10th Ave, Suite 11a, New York, NY 10019-1147 | 2017-01-10 |
| 1760938708 | Pwn | Clinic/Center | 123 W 18th St, 8th Floor, New York, NY 10011-4127 | 2016-08-30 |
| 1144524059 | New York Presbyterian Hospital | Clinic/Center | 505 E 70th St, 3rd Floor, Box 128, New York, NY 10021-4872 | 2011-01-06 |
| 1598829590 | Genetics Center, Inc. | Clinic/Center | 48 Route 25a, Suite 205, Smithtown, NY 11787-1431 | 2006-12-21 |
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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.