DR. THEODORE G GABIG (NPI# 1538194360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538194360 |
| Entity Type | Individual |
| Full Name | DR. THEODORE G GABIG |
| Credential | M.D. |
| Practice Address |
University Hospital. L5 Stony Brook NY 11794 |
| Mailing Address |
P.o. Box 1559 Stony Brook NY 11790 |
| Practice Telephone | 6314442540 |
| Mailing Telephone | 6314442540 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
224920 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02621369 | 05 | |
| NY | AETNA | 4075491 | 01 |
| NY | EMPIRE BC.BS | 6373R2 | 01 |
| Street Address |
UNIVERSITY HOSPITAL. L5 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073856357 | Crystal Vanessa Antoine Pepeljugoski | Internal Medicine | Hsc Level 16 020, Department of Medicine Suny Stony Brook, Stony Brook, NY 11794-8160 | 2013-04-04 |
| 1972871994 | Thomas Joseph Degnan | Internal Medicine | 40 Hopewell Dr, Stony Brook, NY 11790-2339 | 2011-12-05 |
| 1215112289 | Jules A Cohen | Internal Medicine | Stony Brook Cancer Ctr, 3 Edmund D. Pellegrino Road, Stony Brook, NY 11794-0001 | 2008-01-08 |
| 1831210251 | Rocco Caruso, Md | Internal Medicine | 2500 Nesconset Hwy Bldg 26b, Stony Brook, NY 11790-2565 | 2007-04-03 |
| 1770638868 | Roger S. Keresztes | Internal Medicine | 3 Edmund Pellegrino Rd, Stony Brook, NY 11794-9447 | 2007-01-25 |
| 1790772556 | Huda Salman | Internal Medicine | Hsc T15 040, Stony Brook, NY 11794-8151 | 2005-10-05 |
| 1013448125 | Amar Gaurang Parikh | Internal Medicine | 101 Nicolls Rd, Stony Brook, NY 11794-7232 | 2017-03-21 |
| 1306265301 | Thomas Jandl | Internal Medicine | 101 Nicolls Rd, Stony Brook, NY 11794-2805 | 2014-04-08 |
| 1336413319 | Yusuf A Hannun | Internal Medicine | Stony Brook University Cancer Ctr, 3 Edmund D. Pellegrino Rd, Stony Brook, NY 11794-0001 | 2012-03-08 |
| 1881906311 | Yue Zhang | Internal Medicine | Stony Brook Internist, Ufpc Sbumc Hsc Level 15 Rm 040, Stony Brook, NY 11794-8174 | 2010-07-13 |
| Find all providers in STONY BROOK | ||||
| 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.