Organization Active NPI

Jane Kugaczewski, MD Pedicatric Surgery P.C.

  • Pediatric Surgery Physician
  • Stony Brook, NY
National Provider Identifier
1386815348
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
JANE KUGACZEWSKI, MD PEDICATRIC SURGERY P.C.
Practice address
2500 Rte 347
BLDG 16B, Suite 62
Stony Brook, NY 11790-2555
Phone
(631) 689-5695
Fax
(631) 689-3073
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Jane Kugaczewski, M.D.
Title
Pediatric Surgeon
Phone
(631) 689-5695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0120X Primary

Addresses

Primary practice location

2500 Rte 347
BLDG 16B, Suite 62
Stony Brook, NY 11790-2555

Mailing address

8A Old Field Rd
Setauket, NY 11733-2280
Phone (631) 689-5695

National Provider Directory

National Provider Directory

Locations

2500 Nesconset Hwy
Bldg 16B
Stony Brook, NY 11790
Phone (631) 689-5695

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1386815348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8A OLD FIELD RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332280",
            "telephone_number": "631-689-5695",
            "fax_number": "631-689-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RTE 347",
            "address_2": "BLDG 16B, SUITE 62",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-689-5695",
            "fax_number": "631-689-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE KUGACZEWSKI, MD PEDICATRIC SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "KUGACZEWSKI",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PEDIATRIC SURGEON",
        "authorized_official_telephone_number": "631-689-5695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.