DR. MICHELLE CECELIA JARDINE (NPI# 1497740781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497740781 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE CECELIA JARDINE |
| Credential | MD |
| Practice Address |
213 Hallock Rd Suite 6 Stony Brook NY 11790-3000 |
| Mailing Address |
421 Deer Park Ave Babylon NY 11702-2313 |
| Practice Telephone | 6319411000 |
| Practice Fax Number | 6319411010 |
| Mailing Telephone | 6319411000 |
| Mailing Fax Number | 6319411010 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
207582 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730578626 | Michelle Mary Jardine | Occupational Therapist | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2015-01-14 |
| Street Address |
213 HALLOCK RD SUITE 6 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811329188 | Diana Palamar | Chiropractor | 213 Hallock Rd, Suite 4b, Stony Brook, NY 11790-3000 | 2013-08-08 |
| 1609213040 | Kimberly A Reichenbach | Occupational Therapist | 213 Hallock Rd, Suite 6, Stony Brook, NY 11790-3000 | 2013-05-24 |
| 1063859619 | Leon Chiropractic P.C. | Chiropractor | 213 Hallock Rd, Suite 4b, Stony Brook, NY 11790-3000 | 2013-05-22 |
| 1457608531 | Taylor Thea-joan Vertucci | Speech-Language Pathologist | 213 Hallock Rd, Suite 6, Stony Brook, NY 11790-3000 | 2012-08-08 |
| 1457517450 | The Kids Ot Workshop, LLC | Occupational Therapist | 213 Hallock Rd, Suite 2 B, Stony Brook, NY 11790-3000 | 2008-07-30 |
| 1316067424 | Jared Adam Leon | Chiropractor | 213 Hallock Rd, Suite 4b, Stony Brook, NY 11790-3000 | 2007-03-30 |
| 1619092194 | Kendra Doreen Block | Dentist | 213 Hallock Rd, Suite 1, Stony Brook, NY 11790-3000 | 2007-03-21 |
| 1124139035 | Christopher David Passidomo | Psychiatry & Neurology | 213 Hallock Rd, Suite 3a, Stony Brook, NY 11790-3000 | 2006-08-31 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578716262 | Monika Datt | Internal Medicine | 2500 Nesconset Hwy Bldg 3c, Stony Brook, NY 11790-2551 | 2008-10-28 |
| 1861929861 | Theofanis Mitsinikos, Do, PC | Internal Medicine | 2500 Nesconset Hwy Bldg 3c, Stony Brook, NY 11790-2551 | 2017-05-22 |
| 1073773297 | Deirdre Cocks Eschler | Internal Medicine | Stony Brook Internist, Ufpc Smumc, Hsc Level 15, Rm 60, Stony Brook, NY 11794-8154 | 2008-06-11 |
| 1467624064 | Theofanis Mitsinikos | Internal Medicine | 2500 Nesconset Hwy, Bldg 3c, Stony Brook, NY 11790-2555 | 2008-03-24 |
| 1598860967 | Ching-hui Wu | Internal Medicine | 2500 Nesconset Hwy, Bldg 12c, Stony Brook, NY 11790-2553 | 2006-09-13 |
| 1144246885 | Phyllis Migdal | Internal Medicine | 2500 Nesconset Hwy, Bldg. 3c, Stony Brook, NY 11790-2555 | 2006-07-14 |
| 1356380471 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-05 |
| 1417907718 | Sound Endocrinology Pllc | Internal Medicine | 2500 Nesconset Hwy, Bldg. 3c, Stony Brook, NY 11790-2555 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
| Find all providers with the same taxonomy | ||||
| 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.