NPIMap

Organization Active NPI

University Hospital at Stony Brook

  • Ambulatory Surgical Clinic/Center
  • Commack, NY
National Provider Identifier
1275338105
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNIVERSITY HOSPITAL AT STONY BROOK
Practice address
500 Commack Road
Commack, NY 11725-5020
Phone
(631) 444-4100
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY HOSPITAL AT STONY BROOKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Mr. Gary E. Bie, CPA
Title
VP for Health System Finance and Bu
Phone
(631) 444-7581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

500 Commack Road
Commack, NY 11725-5020

Mailing address

100 Nicolls Road
Stony Brook, NY 11794-8410
Phone (631) 444-4100

Other identifiers 1

IdentifierTypeStateIssuer
03002260MedicaidNY

Other names 1

  • Stony Brook Ambulatory Surgery Center at Commack Other name

National Provider Directory

National Provider Directory
Tax ID family
University Hospital12 organizations share this tax ID, including this one
Part of
University Hospital

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1275338105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NICOLLS ROAD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948410",
            "telephone_number": "631-444-4100",
            "fax_number": "631-444-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK ROAD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255020",
            "telephone_number": "631-444-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITAL AT STONY BROOK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY HOSPITAL AT STONY BROOK",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "BIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP FOR HEALTH SYSTEM FINANCE AND BU",
        "authorized_official_telephone_number": "631-444-7581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03002260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stony Brook Ambulatory Surgery Center at Commack",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.