DR. SALVATORE DOCIMO JR. (NPI# 1558691154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558691154 |
| Entity Type | Individual |
| Full Name | DR. SALVATORE DOCIMO JR. |
| Credential | D.O., M.S. |
| Practice Address |
Hst T19, Room 053 Stony Brook NY 11790-8191 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6316383969 |
| Mailing Telephone | 6316383969 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2017-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 285923-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
HST T19, ROOM 053 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-8191 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760740492 | Benjamin James Flink | Surgery | Health Sciences Center T-19, Stony Brook, NY 11794-1059 | 2012-05-01 |
| 1114285988 | Viola Huang | Surgery | Health Science Tower Level 19, Room 020, Stony Brook, NY 11794-1000 | 2012-04-30 |
| 1427200930 | David Alberto Vivas | Surgery | Hsc T19-020 Stony Brook Medicine, Stony Brook, NY 11794-8191 | 2008-10-15 |
| 1548410657 | George C Angelos | Surgery | Hst Level 18 Rm 046b, Stony Brook, NY 11794-8191 | 2008-09-25 |
| 1952508038 | Georgios V Georgakis | Surgery | Lauterbur Drive Hospital Pavilion Level 5w, Stony Brook, NY 11794-3955 | 2007-07-02 |
| 1609913979 | Kinga A Powers | Surgery | Sbumc, Hsc Level 19, Rm.053, Stony Brook, NY 11790-0989 | 2007-01-30 |
| 1336223221 | Aurora Dawn Pryor | Surgery | Hsc 18 040, Stony Brook University Medical Center, Stony Brook, NY 11794-0001 | 2006-10-25 |
| 1790706513 | Marc J Shapiro | Surgery | 100 Nicolls Road, L5 University Hospital, Stony Brook, NY 11794 | 2006-07-21 |
| 1588694673 | Mark A Talamini | Surgery | Hst 19 020, Stony Brook, NY 11794-8191 | 2006-07-04 |
| 1073563953 | Aaron R Sasson | Surgery | Hst Level 18 Rm 065, Stony Brook, NY 11794-8191 | 2006-05-11 |
| Find all providers in STONY BROOK | ||||
| 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.