DR. ROBERT P WORONIECKI (NPI# 1447248034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447248034 |
Entity Type | Individual |
Full Name | DR. ROBERT P WORONIECKI |
Credential | M.D. |
Practice Address |
100 Nicolls Rd # Level11 Stony Brook NY 11794-8111 |
Mailing Address |
25 Gilchrest Rd Great Neck NY 11021-1404 |
Practice Telephone | 6314447884 |
Mailing Telephone | 5164660476 |
Enumeration Date | 2005-10-08 |
Last Update Date | 2013-07-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
205912 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01711802 | 05 |
Street Address |
100 NICOLLS RD # LEVEL11 |
City | STONY BROOK |
State | NY |
Zip Code | 11794-8111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295942266 | Mathew D Ednick | Pediatrics | 100 Nicolls Rd # Level11, Stony Brook, NY 11794-8111 | 2007-05-17 |
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 | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871719542 | Katarina Supe-markovina | Pediatrics | Stony Brook Childrens Hospital, Stony Brook, NY 11794-8111 | 2007-04-18 |
1114960697 | Richard Fine | Pediatrics | 100 Nicolls Rd, Hsc T-11, Rm 060, Stony Brook, NY 11790-3407 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396996211 | Adrian Spitzer | Pediatrics | 3326 Bainbridge Ave, Bronx, NY 10467-2800 | 2008-10-09 |
1013177286 | Natalie Somera Uy | Pediatrics | 3959 Broadway # Chn1115, New York, NY 10032-1559 | 2008-06-11 |
1992963417 | Pamela Singer | Pediatrics | 420 Lakeville Rd, New Hyde Park, NY 11042-1121 | 2008-05-30 |
1215071261 | Erin R Rademacher | Pediatrics | Box 777, 601 Elmwood Avenue, Rochester, NY 14642 | 2007-02-15 |
1942360011 | Howard Trachtman | Pediatrics | 227 E 30th St, New York, NY 10016-8203 | 2006-12-11 |
1780756361 | Consolacion Tanedo Pimentel | Pediatrics | 430 Strawtown Rd, West Nyack, NY 10994-1236 | 2006-11-15 |
1699851535 | Frederick J Kaskel | Pediatrics | 1251 Raleigh Rd, Mamaroneck, NY 10543-1232 | 2006-10-31 |
1396842522 | New York Specialty Physicians, LLP | Pediatrics | 125 Plandome Rd, Manhasset, NY 11030-2331 | 2006-09-20 |
1629087267 | Mount Sinai School of Medicine | Pediatrics | 5 East 98th. Street 12th. Floor, New York, NY 10029-6574 | 2006-08-05 |
1710925276 | Ayesa N Mian | Pediatrics | 601 Elmwood Ave Box 777, Rochester, NY 14642-0001 | 2006-06-04 |
Find all providers with the same taxonomy |
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.