Organization Active NPI

Pain Management of Stony Brook P.C.

  • Specialist
  • Stony Brook, NY
National Provider Identifier
1720467681
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PAIN MANAGEMENT OF STONY BROOK P.C.
Practice address
2500 Nesconset Hwy BLDG 24C
Stony Brook, NY 11790-2598
Phone
(631) 371-1489
Fax
(631) 638-5028
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Veronica Hatzichristos
Title
Billing Manager
Phone
(631) 371-1489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2500 Nesconset Hwy BLDG 24C
Stony Brook, NY 11790-2598

Mailing address

2500 Nesconset Hwy BLDG 24C
Stony Brook, NY 11790-2598
Phone (631) 371-1489

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1720467681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598",
            "telephone_number": "631-371-1489",
            "fax_number": "631-638-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902598",
            "telephone_number": "631-371-1489",
            "fax_number": "631-638-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT OF STONY BROOK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "HATZICHRISTOS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-371-1489"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 May 26, 2015; 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.