DR. DANIEL R. MONTELLESE (NPI# 1770679557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770679557 |
| Entity Type | Individual |
| Full Name | DR. DANIEL R. MONTELLESE |
| Credential | MD |
| Practice Address |
1320 Stony Brook Rd Ste 100 Stony Brook NY 11790 |
| Mailing Address |
1320 Stony Brook Road Bldg D, Suite 100 Stony Brook NY 11790 |
| Practice Telephone | 6319412273 |
| Practice Fax Number | 6319412501 |
| Mailing Telephone | 6319412273 |
| Mailing Fax Number | 6319412501 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 241554 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
241554 | NY | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
241554-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03427332 | 05 |
| Street Address |
1320 STONY BROOK RD STE 100 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871524439 | John P. Dervan | Internal Medicine | 1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790 | 2006-07-05 |
| 1366042764 | Alyssa Nicole Venezia | Nurse Practitioner | 1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790-2222 | 2020-10-27 |
| 1861967515 | Kerrin Elizabeth Rowe | Nurse Practitioner | 1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790-2222 | 2018-10-09 |
| 1467892414 | Arash Ehteshami Afshar | Internal Medicine | 1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790-2222 | 2013-07-03 |
| 1255523973 | Donna Lee Boehm | Clinical Nurse Specialist | 1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790-2222 | 2007-08-16 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467892414 | Arash Ehteshami Afshar | Internal Medicine | 1320 Stony Brook Rd Ste 100, Stony Brook, NY 11790-2222 | 2013-07-03 |
| 1750681912 | On Chen | Internal Medicine | Hsc T16-080, Stony Brook, NY 11794-6002 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| 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.