Individual provider Active NPI

Consuelo Rosario Noriega Reynoso, MD

  • Student in an Organized Health Care Education/Training Program
  • Stony Brook, NY
National Provider Identifier
1407147861
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Stony Brook University Medical Center/C&a Psychiatry
Putnam Hall, South Campus
Stony Brook, NY 11794-8790
Phone
(631) 632-8840
Fax
(631) 632-8953
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

Stony Brook University Medical Center/C&a Psychiatry
Putnam Hall, South Campus
Stony Brook, NY 11794-8790

Mailing address

Stony Brook University Medical Center/C&a Psychiatry
Putnam Hall, South Campus
Stony Brook, NY 11794-8790
Phone (631) 632-8840

Other names 1

  • Consuelo Rosario Noriega-Rojas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1407147861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY MEDICAL CENTER/C&A PSYCHIATRY",
            "address_2": "PUTNAM HALL, SOUTH CAMPUS",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948790",
            "telephone_number": "631-632-8840",
            "fax_number": "631-632-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY MEDICAL CENTER/C&A PSYCHIATRY",
            "address_2": "PUTNAM HALL, SOUTH CAMPUS",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948790",
            "telephone_number": "631-632-8840",
            "fax_number": "631-632-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORIEGA REYNOSO",
        "first_name": "CONSUELO",
        "middle_name": "ROSARIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSUELO",
            "last_name": "NORIEGA-ROJAS",
            "middle_name": "ROSARIO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 20, 2011; 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.