DR. JUAN CARLOS BUCOBO (NPI# 1982892592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982892592 |
| Entity Type | Individual |
| Full Name | DR. JUAN CARLOS BUCOBO |
| Credential | M.D. |
| Practice Address |
Stony Brook University Medical Center Health Science Center T17-060 Stony Brook NY 11794-8173 |
| Practice Telephone | 6314442119 |
| Mailing Telephone | 6314442119 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
257653 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
STONY BROOK UNIVERSITY MEDICAL CENTER HEALTH SCIENCE CENTER T17-060 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306802574 | Juan R. Madariaga | Transplant Surgery | Stony Brook University Medical Center, Department of Surgery Hsc T19, Stony Brook, NY 11794-0001 | 2006-04-25 |
| 1811454051 | Michael Kenneth Masseria | Nurse Anesthetist, Certified Registered | Stony Brook University Medical Center, Hsc Level 4 - Room 060, Stony Brook, NY 11794-8480 | 2019-02-25 |
| 1376034678 | Abigail Lynne Kaske | Social Worker | Stony Brook University Medical Center, Suny South Campus 169 Putnam Hall Bldg:c, Stony Brook, NY 11794 | 2018-05-22 |
| 1538425400 | Laura Viens | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Center, Department of Ob/gyn, Hsc, T9, Stony Brook, NY 11794-8091 | 2012-04-05 |
| 1285925636 | Ebrahim Rashid Oomerjee | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Center, Department of Pediatrics Hsc T-11 040, Stony Brook, NY 11794-8111 | 2011-04-20 |
| 1336439256 | Jonathan Wayne Searcy | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Center, Department of Orthopaedics Hsc T-18, Stony Brook, NY 11794-8181 | 2011-04-12 |
| 1245520550 | Benjamin Charles Delucia | Psychiatry & Neurology | Stony Brook University Medical Center, Department of Psychiatry Hsc, T-10, Room 020, Stony Brook, NY 11794-8101 | 2011-04-08 |
| 1477876282 | Salma Nazneen | Psychiatry & Neurology | Stony Brook University Medical Center, Department of Psychiatry,hsc,t-10,room 020, Stony Brook, NY 11790 | 2010-03-08 |
| 1184884462 | Jane Marie Perillo | Nurse Practitioner | Stony Brook University Medical Center, Hsct11 031, Stony Brook, NY 11794-8111 | 2008-06-11 |
| 1114119161 | Kammy Mcloughlin | Nurse Practitioner | Stony Brook University Medical Center, Hsc T19 Room 090, Stony Brook, NY 11794-0001 | 2007-08-14 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1659791663 | Mohammad Ibraheem Khan | Internal Medicine | Stony Brook Ufpc Practice 101 Nicolls Road Hsc T17-060, Stony Brook, NY 11794-6999 | 2014-04-17 |
| 1598024390 | Michael James Clores | Internal Medicine | Suny At Stony Brook Dept of Gastro Hsc T 17, Stony Brook, NY 11794-8160 | 2012-05-14 |
| 1093048902 | Carmen Magdalena Stanca | Internal Medicine | Stony Brook Internists Ufpc Sbumc, Hsc Level 17 Rm 060, Stony Brook, NY 11794-8173 | 2009-09-09 |
| 1588676373 | Vincent W Yang | Internal Medicine | Hsc T 16 Rm 020, Stony Brook University Medical Center, Stony Brook, NY 11794-8160 | 2006-08-12 |
| 1487064390 | Henry Jen | Internal Medicine | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2014-04-30 |
| 1699839514 | Victor Levy | Internal Medicine | 100 Nicolls Rd, University At Stony Brook Er, Stony Brook, NY 11794 | 2006-12-22 |
| 1265471809 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| 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.