Neurology Associates of Stony Brook, University Faculty Practice Corpo

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY ASSOCIATES OF STONY BROOK, UNIVERSITY FACULTY PRACTICE CORPO

Practice address

101 Nicolls Rd RM 20
Stony Brook, NY 11794-0001

Phone

(631) 444-2599

Fax

(631) 441-4744

NPI assigned

May 24, 2006

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc W Halterman, M.D., PHDNPI 1952310856

Title

President / Director

Phone

(631) 444-2599

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations (25 of 26)

Practitioners 224

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.

• Nataliya Abel, NP

  • Nurse Practitioner
  • Rocky Point, NY
  • NPI 1295066405
  Medicare reassignment Care Compare group NPD
• Anne Felicia Ambrose, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lake Grove, NY
  • NPI 1346218880
  Medicare reassignment Care Compare group NPD
• Sheryll Ann Pollo Baltazar, NP-C

  • Adult Health Nurse Practitioner
  • East Setauket, NY
  • NPI 1184162620
  Medicare reassignment Care Compare group NPD
• Lourdes Alicia Bello Espinosa, M.D

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1083859490
  Medicare reassignment Care Compare group NPD
• Robert Bodroghy, MD

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1306462643
  Medicare reassignment Care Compare group NPD
• Alison Caruana, D.O.

  • Vascular Neurology Physician
  • East Setauket, NY
  • NPI 1003295163
  Medicare reassignment Care Compare group NPD
• Christopher Anthony Coticchio, FNP

  • Family Nurse Practitioner
  • Stony Brook, NY
  • NPI 1205710969
  Medicare reassignment Care Compare group NPD
• Patricia Coyle, M.D.

  • Neurology Physician
  • East Setauket, NY
  • NPI 1124068713
  Medicare reassignment Care Compare group NPD
• Lauren Victoria Deniro, MD

  • Neurology Physician
  • East Setauket, NY
  • NPI 1518255181
  Medicare reassignment Care Compare group NPD
• Patrick John Dooley

  • Adult Health Nurse Practitioner
  • East Patchogue, NY
  • NPI 1578930798
  Medicare reassignment Care Compare group NPD
• Ferhat Erol, MD

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1881157733
  Medicare reassignment Care Compare group NPD
• Michael Guido III, M.D.

  • Neurology Physician
  • East Setauket, NY
  • NPI 1477594034
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1699720888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-444-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD RM 20",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117940001",
            "telephone_number": "631-444-2599",
            "fax_number": "631-441-4744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 N Belle Mead Rd",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117333495",
            "country_code": "US",
            "telephone_number": "631-444-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF STONY BROOK, UNIVERSITY FACULTY PRACTICE CORPO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "HALTERMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "631-444-2599",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01379102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Garrett Nelson, DO
• Alexandra Maria Nerantzinis, MD
• Scott Michael Nettboy, DO
• Barbara Ann Neuhaus, N.P.CNM
• Neuro Brain & Spine Surgery, P.C.
• New York Spine & Brain Surgery, University Faculty Practice Corporatio
• New York Spine and Brain Surgery
• Ivana Newen
• Naomi Lan Newen
• Erika H Newton, M.D.

• Neurology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.