Active NPI
Suny Stony Brook
- General Acute Care Hospital
- Stony Brook, NY
National Provider Identifier
1023201415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 430131
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Surgery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Nurse Practitioner
- Stony Brook, NY
- NPI 1538392410
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.
-
- Neuroscience Registered Nurse
- Stony Brook, NY
- NPI 1275771545
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.