Active NPI
Marie Oquendo-Miller, MSNP
- Women's Health Nurse Practitioner
- Stony Brook, NY
National Provider Identifier
1023015856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 255406
- Practice address
- 1 Stadium Road
Stony Brook, NY 11794-0001 - Phone
- (631) 632-6738
- Fax
- (631) 632-6936
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 255406 | NY | Primary |
Addresses
Primary practice location
1 Stadium Road
Stony Brook, NY 11794-0001
Mailing address
50 Sequoia Dr
Coram, NY 11727-2039
Phone (631) 474-0263
Other names 1
- Marie Santiago
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255406 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VA Medical Center | Past | Accepting new patients | |
| Stonybrook University Student Health Service | Past | Accepting new patients | |
| State of New York Comptrollers Office | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba SUNY at Stony Brook UNIVERSITY Infirmary Pharmacy
- Clinic/Center
- Stony Brook, NY
- NPI 1073633269
-
- Student Health Clinic/Center
- Stony Brook, NY
- NPI 1023556024
-
- Medical Physician Assistant
- Northport, NY
- NPI 1073698858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023015856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SEQUOIA DR",
"city": "CORAM",
"state": "NY",
"postal_code": "117272039",
"telephone_number": "631-474-0263",
"fax_number": "631-474-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 STADIUM ROAD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-632-6738",
"fax_number": "631-632-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OQUENDO-MILLER",
"first_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "255406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "SANTIAGO",
"credential": "MSNP",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.