Active NPI
Chelsea Estrada, D.O.
- Nephrology Physician
- Stony Brook, NY
National Provider Identifier
1720221971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 267281
- Practice address
- Stony Brook Internists Ufpc
HSC T16-080
Stony Brook, NY 11794-8166 - Phone
- (631) 444-1617
- Fax
- (631) 444-6174
- NPI assigned
- Apr 16, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 267281 | NY | Primary |
Addresses
Primary practice location
Stony Brook Internists Ufpc
HSC T16-080
Stony Brook, NY 11794-8166
Mailing address
PO Box 1554
Stony Brook Internists, Ufpc
Stony Brook, NY 11790-0988
Phone (631) 444-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Nephrology | Current | Accepting new patients |
Locations
26 Research Way
East Setauket, NY 11733
Phone (631) 444-0502
100 Nicolls Rd
#13202
Stony Brook, NY 11794
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- chelsea.estrada@direct.stonybrookmedicine.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Stony Brook, NY
- NPI 1821035601
-
- Nephrology Physician
- Stony Brook, NY
- NPI 1215976337
-
- Cardiac Rehabilitation Registered Nurse
- Stony Brook, NY
- NPI 1295778371
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1720221971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1554",
"address_2": "STONY BROOK INTERNISTS, UFPC",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900988",
"telephone_number": "631-444-0650",
"fax_number": "631-638-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK INTERNISTS UFPC",
"address_2": "HSC T16-080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948166",
"telephone_number": "631-444-1617",
"fax_number": "631-444-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "CHELSEA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-16",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "267281",
"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 22, 2016; 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.