NPIMap

Individual provider Active NPI

Simona Treidler, M.D.

  • Neurology Physician
  • Stony Brook, NY
National Provider Identifier
1376888008
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
282831 Issued in NY
Practice address
Neurology Associates of Stony Brook 100 Nichols Rd
Stony Brook, NY 11794
Phone
(718) 514-1936
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 282831 NY
Neurology Physician 2084N0400X 282831 NY Primary

Addresses

Primary practice location

Neurology Associates of Stony Brook 100 Nichols Rd
Stony Brook, NY 11794

Mailing address

Neurology Associates of Stony Brook 100 Nichols Rd
Stony Brook, NY 11794-0001
Phone (718) 514-1936

Other practice location 1

327 Beach 19th St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709001984 NY Practitioner - Neurology 5890041636 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2599

4 Technology Dr
East Setauket, NY 11733-4080
Phone (631) 444-5437

Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Good Shepherd Hospice Hospice, Farmingdale, NY, CCN 331544
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MMC Division of Neurology FPP Neurology CurrentSince Sep 9, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Stony Brook Children'S Service, University Faculty Practice Corporatio CurrentSince May 1, 2019 Accepting new patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Apr 18, 2020 Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Neurology CurrentSince Jul 2, 2018 Accepting new patients

Locations

883 65th St
Brooklyn, NY 11220
Phone (718) 283-6367

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

500 Commack Rd
Ste 201
Commack, NY 11725
Phone (631) 638-0597

500 Commack Rd
Ste 104
Commack, NY 11725
Phone (631) 638-0150

181 N Belle Mead Rd
Ste 6
East Setauket, NY 11733
Phone (516) 324-7500

2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300

4 Smith Haven Mall
Ste 105
Lake Grove, NY 11755

4 Technology Dr
Setauket, NY 11733
Phone (631) 444-2700

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: simonatreidler@mai.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1376888008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEUROLOGY ASSOCIATES OF STONY BROOK 100 NICHOLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "718-514-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEUROLOGY ASSOCIATES OF STONY BROOK 100 NICHOLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "718-514-1936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Beach 19th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914423",
            "country_code": "US",
            "telephone_number": "718-869-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREIDLER",
        "first_name": "SIMONA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "282831",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "282831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.