Stony Brook Internists, University Faculty Practice Corporation

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

Practice address

Suny @ Stony Brook
HSC, L16, RM 020
Stony Brook, NY 11794-0001

Phone

(631) 444-2448

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Vincent Yang, MD, PHDNPI 1588676373

Title

Chair Person

Phone

(631) 444-2448

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Part of

George J Kaloyanides

Locations (25 of 70)

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Stony Brook Internists, University Faculty Practice Corporation

  • Pulmonary Disease Physician
  • Stony Brook, NY
  • NPI 1104865229

  O20040317000450

  Same enrollment
• Stony Brook Internists, University Faculty Practice Corporation

  • Cardiac Rehabilitation Registered Nurse
  • Stony Brook, NY
  • NPI 1295778371

  O20040317000450

  Same enrollment

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

• Vincent W Yang, M.D., PH.D.

  • Gastroenterology Physician
  • Stony Brook, NY
  • NPI 1588676373
  NPD (past) Authorized official
• Lawrence Chayanne Almanzar, PA-C

  • Medical Physician Assistant
  • Stony Brook, NY
  • NPI 1083262083

  Multi-Specialty

  NPD
• Anna Andrzejczyk

  • Hematology & Oncology Physician
  • Stony Brook, NY
  • NPI 1275030231
  NPD
• Lea N Baer, MD

  • Hematology & Oncology Physician
  • Stony Brook, NY
  • NPI 1609037514

  Medical Oncology

  NPD
• Lenore Bonanno, MS, PA

  • Medical Physician Assistant
  • Stony Brook, NY
  • NPI 1750554515
  NPD
• Farhan Chowdhury, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Stony Brook, NY
  • NPI 1073001004
  NPD
• Jules A Cohen, M.D.

  • Hematology & Oncology Physician
  • Stony Brook, NY
  • NPI 1215112289
  NPD
• Michele L Degraw, NP

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
  • NPI 1477975845
  NPD
• Laureen A. Diot, ANP-C

  • Adult Health Nurse Practitioner
  • East Patchogue, NY
  • NPI 1235191370
  NPD
• Theodore G Gabig, M.D.

  • Hematology & Oncology Physician
  • Stony Brook, NY
  • NPI 1538194360
  NPD
• Julie Anne Lynne Gemmill, DO, MS

  • Hematology & Oncology Physician
  • Stony Brook, NY
  • NPI 1619313160
  NPD
• Deana Gordon, FNP

  • Family Nurse Practitioner
  • Stony Brook, NY
  • NPI 1851943344
  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1184679342",
    "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": "631-444-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNY @ STONY BROOK",
            "address_2": "HSC, L16, RM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CHAIR PERSON",
        "authorized_official_telephone_number": "631-444-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00615265",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CB8937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stony Brook Family Dentistry PC
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• Stony Brook Hospital
• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Internists, University Faculty Practice Corporation

• All providers in Stony Brook, NY
• Medical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.