NPIMap

Organization Active NPI

Stony Brook Pediatrics, PC

  • Pediatrics Physician
  • Dansville, NY
National Provider Identifier
1841364288
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STONY BROOK PEDIATRICS, PC
Practice address
22 Red Jacket Street
Dansville, NY 14437-0491
Phone
(585) 335-5200
Fax
(585) 335-8579
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Dr. Joan E Flender, MDNPI 1972572477
Title
Medical Director
Phone
(585) 335-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

22 Red Jacket Street
Dansville, NY 14437-0491

Mailing address

22 Red Jacket Street
PO Box 499
Dansville, NY 14437-0491
Phone (585) 335-5200

National Provider Directory

National Provider Directory
Tax ID family
Stony Brook Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 E South St
Ste 400
Geneseo, NY 14454
Phone (585) 243-7690

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDBAAA

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1841364288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RED JACKET STREET",
            "address_2": "PO BOX 499",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144370491",
            "telephone_number": "585-335-5200",
            "fax_number": "585-335-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RED JACKET STREET",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144370491",
            "telephone_number": "585-335-5200",
            "fax_number": "585-335-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "FLENDER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "585-335-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.