Active NPI
North Island Hematology Oncology
- Hematology & Oncology Physician
- Stony Brook, NY
National Provider Identifier
1104973049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 149725
- Legal business name
- NORTH ISLAND HEMATOLOGY ONCOLOGY
- Practice address
- 2500 Nesconset Hwy
BLDG 26B
Stony Brook, NY 11790-2555 - Phone
- (631) 751-8305
- Fax
- (631) 751-8318
- NPI assigned
- Jan 4, 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
- Rocco Caruso, M.D.
- Title
- Owner
- Phone
- (631) 751-8305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 149725 | NY | Primary |
Addresses
Primary practice location
2500 Nesconset Hwy
BLDG 26B
Stony Brook, NY 11790-2555
Mailing address
2500 Nesconset Hwy
BLDG 26B
Stony Brook, NY 11790-2555
Phone (631) 751-8305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00896011 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104973049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY",
"address_2": "BLDG 26B",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902555",
"telephone_number": "631-751-8305",
"fax_number": "631-751-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY",
"address_2": "BLDG 26B",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902555",
"telephone_number": "631-751-8305",
"fax_number": "631-751-8318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ISLAND HEMATOLOGY ONCOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARUSO",
"authorized_official_first_name": "ROCCO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-751-8305",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "149725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00896011",
"state": "NY"
}
],
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.