Mary Elizabeth Paciella, RN, CNS, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F304070-1 Issued in NY

Practice address

Stony Brook University Hospital
101 Nichols Road Sbuh 8S Room 142
Stony Brook, NY 11794-7080

Phone

(631) 444-8187

Fax

(631) 444-6199

NPI assigned

Jun 5, 2019

Last updated

Jun 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Elizabeth Reid Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1578121463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763071",
            "telephone_number": "631-338-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "101 NICHOLS ROAD SBUH 8S ROOM 142",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947080",
            "telephone_number": "631-444-8187",
            "fax_number": "631-444-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIELLA",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN, CNS, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "A517819-1",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "A517819-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304070-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mary.paciella@stonybrookmedicine.edu",
            "affiliation": "N",
            "endpointDescription": "hospital secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secured hospital email",
            "address_1": "Stony Brook University Hospital",
            "address_2": "101 Nichols Road SBUH 8S Room 142",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117947080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "REID",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Andrew Osei
• Abuzafar M Osman, M.D.
• Rachel Elizabeth Ott
• Karalynn Otterness
• Abdurrahman Zeyd Ozgur
• Theodore F Packy, M.D.
• David Paddock
• Christopher Robin Page, M.D.
• Spyridon Pagkratis, M.D
• Stefani Lynn Pagliuca, NP

• Adult Health Nurse Practitioner in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.