DR. CHARLES GIAN DIPIERRO (NPI# 1457659062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457659062 |
| Entity Type | Individual |
| Full Name | DR. CHARLES GIAN DIPIERRO |
| Credential | MD, MS, PHD, MPH |
| Practice Address |
100 Nicolls Rd Suny Stony Brook, Dept. of Preventive Medicine, Hsc L3 Stony Brook NY 11794-0001 |
| Mailing Address |
Po Box 1559 Suny Stony Brook, Dept. of Preventive Medicine Stony Brook NY 11790-0989 |
| Practice Telephone | 6314443902 |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
25MA07921600 | NJ | Allopathic & Osteopathic Physicians |
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
0101052873 | VA | Allopathic & Osteopathic Physicians |
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
264574 | NY | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 264574 | NY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 25MA07921600 | NJ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0101052873 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
100 NICOLLS RD SUNY STONY BROOK, DEPT. OF PREVENTIVE MEDICINE, HSC L3 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335640 | Laura J Monahan | Pediatrics | 100 Nicolls Rd, Level 11, Suite 040, Stony Brook, NY 11794-8111 | 2005-09-01 |
| 1386250447 | Farhana Zahan | Nurse Practitioner | 100 Nicolls Rd, Stony Brook, NY 11794-3627 | 2020-09-23 |
| 1003433509 | Joseph Anthony Poppa | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11794-3112 | 2020-06-30 |
| 1861027393 | Joshua Nuval | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-03-04 |
| 1548894306 | Matthew Messick | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-03-02 |
| 1386278133 | Savannah Peters | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-4140 | 2020-03-01 |
| 1750915252 | Hannah Skylar Palau | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-02-24 |
| 1609412741 | Thomas Banks | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11790-3407 | 2019-11-25 |
| 1164079802 | Jimmy K Master | Psychologist | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-08-19 |
| 1083278972 | Sara Khan | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-04-25 |
| Find all providers in the same location | ||||
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598100117 | Kelly Elyse Detoy | General Practice | Stony Brook University Hospital, 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2013-05-09 |
| 1811264799 | Lorne Taichman | General Practice | School of Dental Medicine, Stony Brook University, Stony Brook, NY 11794-8702 | 2011-11-21 |
| 1609197995 | Tuyet-anh Thi Nguyen | General Practice | 101 Nicolls Road, Health Sciences Tower Level 3, Rm 086, Stony Brook, NY 11794-8036 | 2010-06-21 |
| 1194810648 | John Frederick Faigle Jr. | General Practice | 45 Main St, Stony Brook, NY 11790 | 2006-10-03 |
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| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| 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.