Aneesa Ali, DO
Individual provider Active NPI Emergency Medicine Physician · Stony Brook, NY
NPI 1750969853 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1750969853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 328952 (NY)
- Practice address
- 101 Nicolls Rd
HSC Level 4, 050
Stony Brook, NY 11794 - Phone
- (631) 444-3880
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613004012 | NY | Practitioner - Emergency Medicine | 2062955412 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328952 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| Stony Brook Emergency Physicians, University Faculty Practice Corporat | Emergency Medicine | Current |
Accepting new patients |
| New York University | Emergency Medicine | Current |
Accepting new patients |
Locations
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
Interoperability endpoints
- aali710145@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 328952 | NY | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
101 Nicolls Rd
HSC Level 4, 050
Stony Brook, NY 11794
Mailing address
101 Nicolls Rd
HSC Level 4, 050
Stony Brook, NY 11794
Other providers in Stony Brook, NY
- Alex Stano LLC
- Margaret Cibotti Alex
- Krystal Rexanne Alexander
- Lauren Algerio
- Adel Alhaj Saleh
- Bibi F. Ali
- Muhammad Ali
- Omama Ali
- Syed Ammar Ali
- Zubair Ali
All providers in Stony Brook, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.