NPIMap

Organization Active NPI

University Hospital at Stony Brook

  • Anatomic Pathology & Clinical Pathology Physician
  • Stony Brook, NY
National Provider Identifier
1942223672
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
5151001H Issued in NY
Legal business name
UNIVERSITY HOSPITAL AT STONY BROOK
Practice address
Nicolls Rd
Stony Brook, NY 11794-9112
Phone
(631) 444-4100
Fax
(631) 444-4082
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Authorized official

Name
Mr. Gary E Bie
Title
Chief Financial Officer
Phone
(631) 444-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 5151001H NY Primary

Addresses

Primary practice location

Nicolls Rd
Stony Brook, NY 11794-9112

Mailing address

Nicolls Rd
Stony Brook, NY 11794-9112
Phone (631) 444-4100

Other identifiers 1

IdentifierTypeStateIssuer
03002251MedicaidNY

Other names 1

  • Stony Brook University Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Stony Brook University Medical Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1942223672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117949112",
            "telephone_number": "631-444-4100",
            "fax_number": "631-444-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117949112",
            "telephone_number": "631-444-4100",
            "fax_number": "631-444-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITAL AT STONY BROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "BIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-444-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "5151001H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03002251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stony Brook University Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 12, 2012; 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.