MENDELSOHN MEDICAL, PLLC (NPI# 1437578127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437578127 |
| Entity Type | Organization |
| Organization Name | MENDELSOHN MEDICAL, PLLC |
| Practice Address |
52 Hillside Rd Stony Brook NY 11790-1020 |
| Practice Telephone | 6314464700 |
| Mailing Telephone | 6314464700 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | FREDERIC MENDELSOHN (OWNER) |
| Authorized Official Telephone | 6314464700 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MENDELSOHN MEDICAL, PLLC | 650 Hallock Avenue, Port Jefferson, New York 11776 |
| Street Address |
52 HILLSIDE RD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-1020 |
| 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 | 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 |
| 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 |
| 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 |
| 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 | 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.