Active NPI
Candice Maietti Foy, MD
- Pediatrics Physician
- Stony Brook, NY
National Provider Identifier
1881013878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 284064
- Practice address
- 100 Nicolls Rd # Level11N
Stony Brook, NY 11794-1559 - Phone
- (631) 444-7884
- Fax
- (631) 444-8968
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 284064 | NY | Primary |
Addresses
Primary practice location
100 Nicolls Rd # Level11N
Stony Brook, NY 11794-1559
Mailing address
101 Nicolls Rd # 11
Stony Brook, NY 11794-0001
Phone (631) 444-7692
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Candice.foy@stonybrookmedicine.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284064 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Pediatrics | Current | Accepting new patients |
| University Hospital at Stony Brook | Current | Accepting new patients |
Locations
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
100 Nicolls Rd
#11N
Stony Brook, NY 11794
Phone (631) 444-2725
101 Nicolls Rd
#11
Stony Brook, NY 11794
Phone (631) 444-7692
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- candice.foy@stonybrookmedicine.edu
- candice.foy@direct.stonybrookmedicine.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1881013878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NICOLLS RD # 11",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-7692",
"fax_number": "631-444-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NICOLLS RD # LEVEL11N",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117941559",
"telephone_number": "631-444-7884",
"fax_number": "631-444-8968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOY",
"first_name": "CANDICE",
"middle_name": "MAIETTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "284064",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Candice.foy@stonybrookmedicine.edu",
"affiliation": "N",
"address_1": "100 Nicolls Rd # Level11N",
"city": "Stony Brook",
"state": "NY",
"country_code": "US",
"postal_code": "117941559",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.