NPIMap

Organization Active NPI

Stonybrook University Medical Center

  • General Acute Care Hospital
  • Kings Park, NY
National Provider Identifier
1033475777
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
F302633-1 Issued in NY
Legal business name
STONYBROOK UNIVERSITY MEDICAL CENTER
Practice address
15 Woodland Dr
Kings Park, NY 11754-3226
Phone
(631) 979-5406
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Theresa Adkins
Title
Admin. Asst
Phone
(631) 444-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X F302633-1 NY Primary

Addresses

Primary practice location

15 Woodland Dr
Kings Park, NY 11754-3226

Mailing address

Nicholls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-3301

National Provider Directory

National Provider Directory
Tax ID family
Stonybrook University Medical Center2 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

Nicholls Rd
Stony Brook, NY 11794

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1033475777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NICHOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WOODLAND DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543226",
            "telephone_number": "631-979-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOK UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMIN. ASST",
        "authorized_official_telephone_number": "631-444-1066"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "F302633-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.