NPIMap

Organization Active NPI

Stony Brook University Hospital

  • Neurology Physician
  • Stony Brook, NY
National Provider Identifier
1124224118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
STONY BROOK UNIVERSITY HOSPITAL
Practice address
Nicolls Road
HSC T12 Room 020 Stony Brook University Hospital
Stony Brook, NY 11794-8121
Phone
(631) 444-2599
Fax
(631) 444-4743
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Coyle, MDNPI 1124068713
Title
Acting Chair
Phone
(631) 444-2599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

Nicolls Road
HSC T12 Room 020 Stony Brook University Hospital
Stony Brook, NY 11794-8121

Mailing address

Nicolls Road
HSC T12 Room 020 Stony Brook University Hospital
Stony Brook, NY 11794-8121
Phone (631) 444-2599

Other names 1

  • Department of Neurology Other name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/929sni9vNtBT8k3NbtgAnVZlZv_TYNXC/

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124224118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NICOLLS ROAD",
            "address_2": "HSC T12 ROOM 020 STONY BROOK UNIVERSITY HOSPITAL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948121",
            "telephone_number": "631-444-2599",
            "fax_number": "631-444-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NICOLLS ROAD",
            "address_2": "HSC T12 ROOM 020 STONY BROOK UNIVERSITY HOSPITAL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948121",
            "telephone_number": "631-444-2599",
            "fax_number": "631-444-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ACTING CHAIR",
        "authorized_official_telephone_number": "631-444-2599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Neurology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.

Verify at the official NPI Registry.