Stony Brook Medical Center

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

F302148-1 Issued in NY

Legal business name

STONY BROOK MEDICAL CENTER

Practice address

T19 080 Health Sciences Ctr
Stony Brook, NY 11794-0001

Phone

(631) 444-1820

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen D Lopez, NP

Title

Nurse Practitioner

Phone

(631) 444-1820

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1255548699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DEER LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333406",
            "telephone_number": "631-928-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T19 080 HEALTH SCIENCES CTR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-444-1820",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": "F302148-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Access Hospital in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Critical Access Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.