Ira Chernoff,MD Pci

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

302541 Issued in NY

Legal business name

IRA CHERNOFF,MD PCI

Practice address

2500 Nesconset Hwy BLDG 20a
Stony Brook, NY 11790-2564

Phone

(631) 246-6100

Fax

(631) 246-9464

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia A Di Bella-Price, NP-CFA

Title

Nurse Practitioner/First Assist

Phone

(631) 246-6100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124105705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 20A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902564",
            "telephone_number": "631-246-6100",
            "fax_number": "631-246-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 20A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902564",
            "telephone_number": "631-246-6100",
            "fax_number": "631-246-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA CHERNOFF,MD PCI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DI BELLA-PRICE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/FIRST ASSIST",
        "authorized_official_telephone_number": "631-246-6100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-CFA"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "302541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Adult Health Nurse Practitioner in New York

• 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.

Verify at the official NPI Registry.