Stony Brook Internists, University Faculty Practice Corporation
Organization Active NPI Internal Medicine Physician · Stony Brook, NY
NPI 1821035601 · NPPES record last updated May 8, 2026
Key facts
- NPI
- 1821035601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
- Practice address
- Suny @ Stony Brook
HSC, L16, RM 020
Stony Brook, NY 11794-0001 - Phone
- (631) 444-2448
- NPI assigned
- Jun 1, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Authorized official
- Name
- Dr. Vincent W Yang, M.D., PHD
- Title
- Chair Person
- Phone
- (631) 444-2448
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Practitioners 473
-
Rula Abdulrahman, M.D.
-
Anna Adam, MD
-
Sahar Ahmad, M.D.
-
Ainul Asif, M.D.
-
Muhammad Aslam, MD
-
Victoria Bateman, NP
-
Sara Bendig, PA-C
-
Craig Bhoorasingh, FNP
-
Jacqueline J. Bishop, FNP
-
Lenore Bonanno, MS, PA
-
Patricia Boromee, MD
-
Dara Gail Brener, MD
-
Abida B. Butler, M.D.
-
Emel Cakir, NP
-
Ingrid Carmelle Cantave, M.D.
-
Tyler Fox Carey, MD
-
Bernadette Chaplin-Swope, AGNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040416000248 | NY | Part B Supplier - Clinic/Group Practice | 9133019821 |
Receives reassigned benefits from 270 practitioners 2 other NPIs on this enrollment Practice locations: Centereach, NY; Stony Brook, NY; Smithtown, NY; Lake Grove, NY; Islip Terrace, NY; Greenport, NY; East Setauket, NY; Commack, NY… |
National Provider Directory
- Part of
- George J Kaloyanides
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
Suny @ Stony Brook
HSC, L16, RM 020
Stony Brook, NY 11794-0001
Mailing address
PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 444-2448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00615265 | Medicaid | NY | |
| CB8937 | Other | NY | RAILROAD |
Other providers in Stony Brook, NY
- Stony Brook Internists, University Faculty Practice Corporation
- Stony Brook Internists, University Faculty Practice Corporation
- Stony Brook Internists, University Faculty Practice Corporation
- Stony Brook Internists, University Faculty Practice Corporation
- Stony Brook Internists, University Faculty Practice Corporation
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- Stony Brook Medical Center
- Stony Brook Medical Center
- Stony Brook Medical Center
- Stony Brook Medical Center
All providers in Stony Brook, NY · Internal 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 May 8, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.