Suny Stonybrook University Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

303627 Issued in NY

Legal business name

SUNY STONYBROOK UNIVERSITY HOSPITAL

Practice address

HSC T16 Room 080
Suny Stonybrook University Hospital
Stonybrook, NY 11794

Phone

(631) 444-1066

Fax

(631) 444-1054

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Joan Fellows, ANP

Title

Adult Nurse Practitioner

Phone

(631) 444-1066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1457517013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HSC T16 ROOM 080",
            "address_2": "SUNY STONYBROOK UNIVERSITY HOSPITAL",
            "city": "STONYBROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-1066",
            "fax_number": "631-444-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HSC T16 ROOM 080",
            "address_2": "SUNY STONYBROOK UNIVERSITY HOSPITAL",
            "city": "STONYBROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-1066",
            "fax_number": "631-444-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNY STONYBROOK UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-444-1066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "303627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaoyang Qu
• Tahmid Rahman, MD
• Paul Rogak, PA
• Richard L Smith Jr., RPH
• Stonybrook Surigcal Assoicates

• All providers in Stonybrook, NY
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.