Active NPI
Salma Nazneen, M.D.
- Psychiatry Physician
- Stony Brook, NY
National Provider Identifier
1477876282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 264818
- Practice address
- Stony Brook University Medical Center
Department of Psychiatry,HSC,T-10,Room 020
Stony Brook, NY 11790 - Phone
- (631) 444-2884
- NPI assigned
- Mar 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 264818 | NY | Primary |
Addresses
Primary practice location
Stony Brook University Medical Center
Department of Psychiatry,HSC,T-10,Room 020
Stony Brook, NY 11790
Mailing address
153-30 89TH Avenue
Appt # 1215
Jamaica, NY 11432-3872
Phone (404) 275-6791
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264818 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Stony Brook, University Faculty Practice Corpo | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Stony Brook, NY
- NPI 1699720888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1477876282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153-30 89TH AVENUE",
"address_2": "APPT # 1215",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323872",
"telephone_number": "404-275-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY MEDICAL CENTER",
"address_2": "DEPARTMENT OF PSYCHIATRY,HSC,T-10,ROOM 020",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790",
"telephone_number": "631-444-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZNEEN",
"first_name": "SALMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-08",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "264818",
"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 Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.