Individual provider Active NPI

Stefani Lynn Pagliuca, NP

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1205289592
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307752-1 Issued in NY
Practice address
Department of Medicine HSC T16, Rm020
Stony Brook, NY 11794-8403
Phone
(631) 638-4464
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307752-1 NY Primary

Addresses

Primary practice location

Department of Medicine HSC T16, Rm020
Stony Brook, NY 11794-8403

Mailing address

177 Fairharbor Dr
Patchogue, NY 11772-3370
Phone (631) 559-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
307752-1NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: spagliuca504426@nyumc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHEDCD/Endpoint/DHEDCD

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1205289592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 FAIRHARBOR DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723370",
            "telephone_number": "631-559-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF MEDICINE HSC T16, RM020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948403",
            "telephone_number": "631-638-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIUCA",
        "first_name": "STEFANI",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307752-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 6, 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.