Charles Gian Dipierro, MD, MS, PHD, MPH

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

264574 Issued in NY

Practice address

100 Nicolls Rd
Suny Stony Brook, Dept. of Preventive Medicine, HSC L3
Stony Brook, NY 11794-0001

Phone

(631) 444-3902

NPI assigned

Mar 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1457659062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "address_2": "SUNY STONY BROOK, DEPT. OF PREVENTIVE MEDICINE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICOLLS RD",
            "address_2": "SUNY STONY BROOK, DEPT. OF PREVENTIVE MEDICINE, HSC L3",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIERRO",
        "first_name": "CHARLES",
        "middle_name": "GIAN",
        "name_prefix": "Dr.",
        "credential": "MD, MS, PHD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-06",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101052873",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA07921600",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "264574",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "VA",
            "license": "0101052873",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NJ",
            "license": "25MA07921600",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "264574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Digregorio, NP-PSYCHIATRY
• Maryanne Dillon
• Stephen Dimaria
• Lambrene Dimos
• Johnna Rena Diouf, DO
• Guy Dipietro, D.D.S.
• Nora Diraimondo, AGNP-C
• Brianna Rose Distler, DDS
• Neha Divi
• Huzefa Diwan, MD

• General Practice Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.