Stony Brook Children's Service, University Faculty Practice Corporatio

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO

Practice address

Suny @ Stony Brook
HSC, L11, RM 020
Stony Brook, NY 11794-0001

Phone

(631) 444-1362

NPI assigned

May 26, 2006

Last updated

Feb 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Margaret McGovern, M.D.

Title

Chair Person

Phone

(631) 444-1362

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations (25 of 63)

Practitioners 209

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.

• Ken-Michael S Bayle, D.O.

  • Pediatric Cardiology Physician
  • Stony Brook, NY
  • NPI 1356683437

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Jenna Berson, MD

  • Pediatric Gastroenterology Physician
  • Stony Brook, NY
  • NPI 1871055988

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Anupama Chawla, M.D.

  • Pediatric Gastroenterology Physician
  • Stony Brook, NY
  • NPI 1134162936
  Medicare reassignment Care Compare group NPD
• Maribeth Chitkara, M.D.

  • Pediatrics Physician
  • Stony Brook, NY
  • NPI 1588606412
  Medicare reassignment Care Compare group NPD
• Dawn M Dawson, CPNP

  • Nurse Practitioner
  • Holbrook, NY
  • NPI 1801069919
  Medicare reassignment Care Compare group NPD
• Barry Lawrence Diener, M.D.

  • Pediatric Pulmonology Physician
  • East Setauket, NY
  • NPI 1629366372
  Medicare reassignment Care Compare group NPD
• Janet Difalco, N.P.

  • Nurse Practitioner
  • Stony Brook, NY
  • NPI 1356384168
  Medicare reassignment Care Compare group NPD
• Allison Heather Eliscu, MD

  • Pediatric Adolescent Medicine Physician
  • East Setauket, NY
  • NPI 1497915862
  Medicare reassignment Care Compare group NPD
• Samantha Erin Feld-Ansbach, MD

  • Pediatrics Physician
  • Islip Terrace, NY
  • NPI 1629338033
  Medicare reassignment Care Compare group NPD
• Patricia Galvin-Parton, M.D.

  • Clinical Genetics (M.D.) Physician
  • Stony Brook, NY
  • NPI 1649211798
  Medicare reassignment Care Compare group NPD
• Andrew Handel, MD

  • Pediatric Infectious Diseases Physician
  • Stony Brook, NY
  • NPI 1104245828
  Medicare reassignment Care Compare group NPD
• Laura Elaina Hogan, MD

  • Pediatric Hematology & Oncology Physician
  • Stony Brook, NY
  • NPI 1336308626
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1083660575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNY @ STONY BROOK",
            "address_2": "HSC, L11, RM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CHAIR PERSON",
        "authorized_official_telephone_number": "631-444-1362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02291087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Stone, PH.D.
• Todd Stone, D.M.D
• Stony Brook Acupuncture and Massage Therapy PC
• Stony Brook Acupuncture Wellness PC
• Stony Brook Anaesthesiology, University Faculty Practice Corporation
• Stony Brook Cosmetic Dentistry, P.C. (Stony Brook General & Cosmetic Dentistry)
• Stony Brook Dental Associates
• Stony Brook Dental Associates
• Stony Brook Dental PC
• Stony Brook Dermatology Associates, University Faculty Practice Corpor

• Pediatrics Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.