Christine Sunjung Ahn, MD
Individual provider Active NPI Emergency Medicine Physician · Stony Brook, NY
NPI 1336307461 · NPPES record last updated Jul 13, 2010
Key facts
- NPI
- 1336307461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 257406 (NY)
- Practice address
- Stony Brook University Hospital
Dept of Emergency Medicine
Stony Brook, NY 11794-7148 - Phone
- (631) 444-2478
- Fax
- (631) 444-3919
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817000814 | NY | Practitioner - Emergency Medicine | 1557495249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Emergency Physicians, University Faculty Practice Corporat | Emergency Medicine | Current |
Accepting new patients |
Locations
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
Interoperability endpoints
- christine.ahn@direct.stonybrookmedicine.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 257406 | NY | Yes |
Addresses
Primary practice location
Stony Brook University Hospital
Dept of Emergency Medicine
Stony Brook, NY 11794-7148
Mailing address
Stony Brook University Hospital
Dept of Emergency Medicine, HSC, L-4, Room 080
Stony Brook, NY 11794-7148
Phone (631) 444-2478
Other providers in Stony Brook, NY
- Saghir Ahmed
- Sharnam Ahmed
- Sunjida Ahmed
- Tahmeena Ahmed
- Anna Ahn
- Jane Yonjoo Ahn
- Jongkoo Ahn
- Julia Sungeun Ahn
- Nicholas Junhyuk Ahn
- Suhyun Ahn
All providers in Stony Brook, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.