JEFFREY HOM (NPI# 1902898240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902898240 |
| Entity Type | Individual |
| Full Name | JEFFREY HOM |
| Credential | MD |
| Practice Address |
101 Nicholls Road Stony Brook University Medical Center Stony Brook NY 11790-0001 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314440650 |
| Mailing Telephone | 6314440650 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 210776 | NY | Allopathic & Osteopathic Physicians |
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
210776 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922397959 | Jeffrey Kiyoshi Hom | Student in an Organized Health Care Education/Training Program | 1545 Divisadero St, San Francisco, CA 94115-3425 | 2011-03-30 |
| 1780856427 | Jeffrey James Hom | Radiology | 505 Parnassus Ave, Ucsf Department of Radiology, M-391, Box 0628, San Francisco, CA 94143-2204 | 2008-04-01 |
| Street Address |
101 NICHOLLS ROAD STONY BROOK UNIVERSITY MEDICAL CENTER |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760347 | Michelle Kolakowski | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road, Stony Brook, NY 11794-0001 | 2020-04-30 |
| 1114488855 | Patrick Finn Diamond | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road, Stony Brook, NY 11794-8480 | 2019-03-26 |
| 1528533445 | Anthony Ronald Minelli | Physician Assistant | 101 Nicholls Road, Stony Brook, NY 11794-0001 | 2018-10-07 |
| 1376030650 | Michael Daniel Lum | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road, Stony Brook, NY 11794 | 2018-04-22 |
| 1811494594 | David Joseph Restle | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road, Hsc 19-030, Stony Brook, NY 11794 | 2018-04-10 |
| 1457858417 | Kisa King | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road, Stony Brook, NY 11794-0001 | 2018-04-06 |
| 1295230720 | Hibbah Bint Nabeel | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road, Stony Brook, NY 11794-0001 | 2018-03-27 |
| 1518906726 | Scott Adam Springer | Radiology | 101 Nicholls Road, Stony Brook, NY 11794-4235 | 2006-06-05 |
| 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 | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700317443 | April Michelle Roma Venn | Emergency Medicine | Department of Emergency Medicine, 622 W 168th St, Vc-260, New York, NY 10032 | 2017-03-24 |
| 1881021046 | Linda M Bacon | Emergency Medicine | 595 Willoughby Ave, Brooklyn, NY 11206-6811 | 2013-10-02 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1568800324 | Cloty Victoria Toro | Emergency Medicine | 11 Havenwood Rd, Staten Island, NY 10301-2718 | 2013-06-13 |
| 1518223973 | Linell De-silva Skeene | Emergency Medicine | 25 Dunhill Rd, New Hyde Park, NY 11040-2248 | 2012-04-10 |
| 1073812038 | David Michael Pinter | Emergency Medicine | 14001 Jewel Ave Apt 2, Flushing, NY 11367 | 2011-03-16 |
| 1306157375 | Zaira Rivera-diaz | Emergency Medicine | 3315 Rochambeau Ave Fl 2, Bronx, NY 10467-2848 | 2010-06-24 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1558500504 | Janienne Ellen Kondrich | Emergency Medicine | 525 E 68th St # M130, New York, NY 10065-4870 | 2009-02-16 |
| 1780702647 | Eric Weinberg | Emergency Medicine | Lijmc-dept of Emergency Medicine - Peds Em, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2007-03-27 |
| 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.