Stony Brook Medical Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

501428-1 Issued in NY

Legal business name

STONY BROOK MEDICAL CENTER

Practice address

Stony Brook Medical Center
Nicholls Rd
Stony Brook, NY 11794

Phone

(631) 444-2444

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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

Ms. Christina Marie Hendershot, CRNANPI 1861523946

Title

Certified Registered Nurse Anesthet

Phone

(631) 444-2444

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Christina Marie Hendershot, CRNA

  • Specialist
  • Rocky Point, NY
  • NPI 1861523946
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427194992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NICHOLS RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885013",
            "telephone_number": "631-979-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK MEDICAL CENTER",
            "address_2": "NICHOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED REGISTERED NURSE ANESTHET",
        "authorized_official_telephone_number": "631-444-2444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "501428-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Internists, University Faculty Practice Corporation
• Stony Brook Massage Therapy PC
• Stony Brook Medical Center
• Stony Brook Medical Center
• Stony Brook Medical Center
• Stony Brook Occupational Therapy
• Stony Brook Ophthalmology, University Faculty Practice Corporation
• Stony Brook Opticians Inc (Wiggs Opricians)

• Certified Registered Nurse Anesthetist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.