Active NPI
Richard Tuckman
- Internal Medicine Physician
- Stony Brook, NY
National Provider Identifier
1487657649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 195463
- Practice address
- Student Health Service, Stony Brook University
1 Stadium Road
Stony Brook, NY 11794-3191 - Phone
- (631) 632-6171
- Fax
- (631) 632-6936
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 195463 | NY | Primary |
Addresses
Primary practice location
Student Health Service, Stony Brook University
1 Stadium Road
Stony Brook, NY 11794-3191
Mailing address
20 Andrea Dr
Setauket, NY 11733-1905
Phone (631) 941-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195463 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487657649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ANDREA DR",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117331905",
"telephone_number": "631-941-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STUDENT HEALTH SERVICE, STONY BROOK UNIVERSITY",
"address_2": "1 STADIUM ROAD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117943191",
"telephone_number": "631-632-6171",
"fax_number": "631-632-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKMAN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "195463",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.