Stony Brook Radiology, University Faculty Practice Corporation

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION

Practice address

Suny at Stony BRK
HSC, L4, RM 120
Stony Brook, NY 11794-8460

Phone

(631) 444-3452

NPI assigned

May 24, 2006

Last updated

Jul 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elaine S Gould, M.D.NPI 1649207465

Title

Chair Person

Phone

(631) 444-3452

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elaine Gould, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1649207465
  Medicare reassignment Care Compare group NPD Authorized official
• Almas Abbasi, M.D.

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1568408599
  Medicare reassignment Care Compare group NPD
• Mohammed Awad Mohammed I Abdeen, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1699379305
  Medicare reassignment Care Compare group NPD
• Neil E Adler

  • Body Imaging Physician
  • West Nyack, NY
  • NPI 1194703264

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Russell David Areman

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1457340556
  Medicare reassignment Care Compare group NPD
• James Badia, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1548323652
  Medicare reassignment Care Compare group NPD
• Kevin Scott Baker, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1053639484
  Medicare reassignment Care Compare group NPD
• Lev Bangiyev, DO

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1215007323
  Medicare reassignment Care Compare group NPD
• Anton Oscar Beitia, MD

  • Neuroradiology Physician
  • Stony Brook, NY
  • NPI 1467530386

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Avraham Bluestone, MD,PHD

  • Neuroradiology Physician
  • Stony Brook, NY
  • NPI 1003072950

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Tara Marie Catanzano, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1518956150
  Medicare reassignment Care Compare group NPD
• Annapurneswara Rao Chimpiri, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
  • NPI 1962504167
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1366497448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNY AT STONY BRK",
            "address_2": "HSC, L4, RM 120",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948460",
            "telephone_number": "631-444-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHAIR PERSON",
        "authorized_official_telephone_number": "631-444-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00549133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stony Brook University Hospital

• Diagnostic Radiology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.