NPIMap

Organization Active NPI

Stonybrook University Medical Center

  • General Acute Care Hospital
  • Stony Brook, NY
National Provider Identifier
1578722088
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
F3026331 Issued in NY
Legal business name
STONYBROOK UNIVERSITY MEDICAL CENTER
Practice address
100 Nicholls Rd
Stony Brook, NY 11794-0001
Phone
(631) 444-1066
Fax
(631) 444-3365
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Mrs. Chrysa Anne Smalley, RN ANPNPI 1386900025
Title
Nurse Practitioner
Phone
(631) 444-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X F3026331 NY Primary

Addresses

Primary practice location

100 Nicholls Rd
Stony Brook, NY 11794-0001

Mailing address

100 Nicholls Road
Stonybrook, NY 11794
Phone (631) 444-1066

National Provider Directory

National Provider Directory
Tax ID family
Stonybrook University Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Nicholls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1578722088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NICHOLLS ROAD",
            "city": "STONYBROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-1066",
            "fax_number": "631-444-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICHOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-1066",
            "fax_number": "631-444-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOK UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "SMALLEY",
        "authorized_official_first_name": "CHRYSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-444-1066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN ANP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "F3026331",
            "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 Jun 9, 2008; 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.