Active NPI
Kimberly Sue Tafuri, D.O
- Pediatric Endocrinology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 252022
- Practice address
- 100 Nicolls Rd
Stony Brook Hospital Dept of Pediatrics HSC T11 Room080
Stony Brook, NY 11794-8111 - Phone
- (631) 444-3429
- Fax
- (631) 444-6045
- NPI assigned
- Mar 13, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 252022 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
100 Nicolls Rd
Stony Brook Hospital Dept of Pediatrics HSC T11 Room080
Stony Brook, NY 11794-8111
Mailing address
100 Nicolls Rd
Stony Brook Hospital Dept of Pediatrics HSC T11 Room080
Stony Brook, NY 11794-8111
Phone (631) 444-3429
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children's Service, University Faculty Practice Corporatio | Current | Accepting new patients |
Locations
600 Montauk Hwy
Ste A
Center Moriches, NY 11934
Phone (631) 638-2900
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
100 Nicolls Rd
Rm 80
Stony Brook, NY 11794
Phone (631) 444-3429
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kimberly.tafuri@direct.stonybrookmedicine.edu
Organizations & group practices 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1952572307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NICOLLS RD",
"address_2": "STONY BROOK HOSPITAL DEPT OF PEDIATRICS HSC T11 ROOM080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948111",
"telephone_number": "631-444-3429",
"fax_number": "631-444-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NICOLLS RD",
"address_2": "STONY BROOK HOSPITAL DEPT OF PEDIATRICS HSC T11 ROOM080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948111",
"telephone_number": "631-444-3429",
"fax_number": "631-444-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFURI",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "NY",
"license": "252022",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 May 22, 2012; 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.