Individual provider Active NPI

Cynthia Anne Geisler-Gaine, M.S.

  • Specialist
  • Stony Brook, NY
National Provider Identifier
1245592856
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
553801041 Issued in NY
Practice address
5 Bucknell LN
Stony Brook, NY 11790-2521
Phone
(631) 431-6600
NPI assigned
Jun 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 553801041 NY Primary

Addresses

Primary practice location

5 Bucknell LN
Stony Brook, NY 11790-2521

Mailing address

5 Bucknell LN
Stony Brook, NY 11790-2521
Phone (631) 431-6600

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
553801041NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1245592856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUCKNELL LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902521",
            "telephone_number": "631-431-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUCKNELL LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902521",
            "telephone_number": "631-431-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISLER-GAINE",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "553801041",
            "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 Jun 10, 2012; 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.