Organization Active NPI

Suny Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
National Provider Identifier
1023201415
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
430131 Issued in NY
Legal business name
SUNY STONY BROOK
Practice address
HSC Level 12 Room 080
Stony Brook, NY 11794-8122
Phone
(631) 444-1289
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane Carlson
Title
Nurse Manager
Phone
(631) 444-8073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 430131 NY Primary

Addresses

Primary practice location

HSC Level 12 Room 080
Stony Brook, NY 11794-8122

Mailing address

HSC Level 12 Room 080
Stony Brook, NY 11794-8122

National Provider Directory

National Provider Directory
Tax ID family
New York Spine and Brain Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

Hsc Level 12
Rm 080
Stony Brook, NY 11794
Phone (631) 444-1289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1023201415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HSC LEVEL 12 ROOM 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HSC LEVEL 12 ROOM 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948122",
            "telephone_number": "631-444-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY STONY BROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "631-444-8073"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "430131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.