DR. DAVID J FIORELLA (NPI# 1467416271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467416271 |
| Entity Type | Individual |
| Full Name | DR. DAVID J FIORELLA |
| Credential | M.D., PH.D. |
| Practice Address |
Hsc T12 Rm 080 Stony Brook NY 11794-8122 |
| Practice Telephone | 6314441213 |
| Practice Fax Number | 6314441535 |
| Mailing Telephone | 6314441213 |
| Mailing Fax Number | 6314441535 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2014-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
29194 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HIP | 252328 | 01 |
| AZ | PTAN | 116754 | 01 |
| OH | 2482219 | 05 | |
| NY | 3093556 | 05 | |
| NY | AETNA PPO | 7930204 | 01 |
| Street Address |
HSC T12 RM 080 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306215512 | Susan Cheung | Nurse Practitioner | Hsc T12 Rm 080, Stony Brook, NY 11794-8122 | 2015-09-17 |
| 1114228210 | Michael Anthony Longo | Physician Assistant | Hsc T12 Rm 080, Stony Brook, NY 11794 | 2010-11-06 |
| 1477862225 | Samuel B Krivit | Physician Assistant | Hsc T12 Rm 080, Stony Brook, NY 11794-8122 | 2010-09-28 |
| 1538392410 | New York Spine and Brain Surgery | Nurse Practitioner | Hsc T12 Rm 080, Stony Brook, NY 11794-8122 | 2009-08-26 |
| 1588824296 | Donna Andricopoulos | Nurse Practitioner | Hsc T12 Rm 080, Stony Brook, NY 11794-0001 | 2008-06-16 |
| 1942336185 | Mitchell Scott Elsky | Physician Assistant | Hsc T12 Rm 080, Stony Brook, NY 11794-8122 | 2007-02-24 |
| 1346271517 | Michelle Tomasetti | Physician Assistant | Hsc T12 Rm 080, Stony Brook, NY 11794-8122 | 2006-07-06 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962662783 | Alexander Filatov | Radiology | 100 Nichols Road, Hsc L4 Rm 120, Stony Brook, NY 11794-8460 | 2008-06-16 |
| 1851666044 | Giuseppe Cruciata | Radiology | 101 Nicolls Road, Stony Brook, NY 11794 | 2012-03-20 |
| 1033351630 | Punit Chhaganlal Aghera | Radiology | Hsc L4 Rm 120, Stony Brook, NY 11794-8460 | 2009-03-27 |
| 1003072950 | Avraham Bluestone | Radiology | Stony Brook Radiology, Hsc L4, Room 120, Stony Brook, NY 11794-8460 | 2008-07-31 |
| 1881729960 | Patricia E Roche | Radiology | 100 Nicolls Rd, Stony Brook, NY 11790-3407 | 2007-02-22 |
| 1467530386 | Anton Oscar Beitia | Radiology | 101 Nicolls Rd, Stony Brook, NY 11794-8460 | 2006-11-01 |
| 1336177740 | Bruce Chernofsky | Radiology | University Hospital At Stony Brook, Stony Brook, NY 11794-0001 | 2006-06-28 |
| 1285661298 | Zengmin Yan | Radiology | University Hospital, L4, Stony Brook, NY 11794-0001 | 2006-06-26 |
| 1750318986 | Robert Peyster | Radiology | University Hospital, L4, Stony Brook, NY 11790 | 2006-06-26 |
| 1902840416 | Clemente` T Roque | Radiology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-15 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on DR. DAVID J FIORELLA.
| 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.