Paul Rogak, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004801 Issued in NY

Practice address

Nicolls Rd
Stonybrook University Dept of Neurosurgery
Stonybrook, NY 11794

Phone

(631) 444-8070

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: paul.rogak@direct.stonybrookmedicine.edu

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1508046301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NICOLLS RD",
            "address_2": "STONYBROOK UNIVERSITY DEPT OF NEUROSURGERY",
            "city": "STONYBROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NICOLLS RD",
            "address_2": "STONYBROOK UNIVERSITY DEPT OF NEUROSURGERY",
            "city": "STONYBROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGAK",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socorro Laboy, LPN
• William James Lemorocco, PHARMACIST
• Carol O'Brien
• Chaoyang Qu
• Tahmid Rahman, MD
• Richard L Smith Jr., RPH
• Stonybrook Surigcal Assoicates
• Suny Stonybrook University Hospital

• All providers in Stonybrook, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.