Organization Active NPI

Stonybrook Medical Center, Inc.

  • Internal Medicine Physician
  • Levittown, PA
National Provider Identifier
1861565509
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD034446E Issued in PA
Legal business name
STONYBROOK MEDICAL CENTER, INC.
Practice address
50 Serpentine LN
Levittown, PA 19055-2213
Phone
(215) 946-4410
Fax
(215) 946-5846
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Luigi De Santis, MD
Title
President
Phone
(215) 946-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD034446E PA Primary

Addresses

Primary practice location

50 Serpentine LN
Levittown, PA 19055-2213

Mailing address

50 Serpentine LN
Levittown, PA 19055-2213
Phone (215) 946-4410

National Provider Directory

National Provider Directory

Locations

50 Serpentine Ln
Levittown, PA 19055
Phone (215) 946-4410

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1861565509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SERPENTINE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552213",
            "telephone_number": "215-946-4410",
            "fax_number": "215-946-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SERPENTINE LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552213",
            "telephone_number": "215-946-4410",
            "fax_number": "215-946-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOK MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DE SANTIS",
        "authorized_official_first_name": "LUIGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-946-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034446E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.