| Stony Brook Internists, University Faculty Practice Corporation | |
|
Suny @ Stony Brook Hsc, L16, Rm 020 Stony Brook NY 11794-0001 | |
| (631) 444-2448 | |
| Not Available |
| Full Name | Stony Brook Internists, University Faculty Practice Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | Suny @ Stony Brook, Stony Brook, New York |
| Authorized Official Name and Position | Vincent W Yang (CHAIR PERSON) |
| Authorized Official Contact | 6314442448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Brook Internists, University Faculty Practice Corporation Po Box 1554 Stony Brook NY 11790-0988 Ph: (631) 444-2448 | Stony Brook Internists, University Faculty Practice Corporation Suny @ Stony Brook Hsc, L16, Rm 020 Stony Brook NY 11794-0001 Ph: (631) 444-2448 |
| NPI Number | 1821035601 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 01/07/2014 |
| Medicare PECOS PAC ID | 9133019821 |
|---|---|
| Medicare Enrollment ID | O20040416000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821035601 | NPI | - | NPPES |
| 00615265 | Medicaid | NY | |
| CB8937 | Other | NY | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zeenat A Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548261076 PECOS PAC ID: 3678472982 Enrollment ID: I20040106000505 |
| Provider Name | Nathanael Desire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922118652 PECOS PAC ID: 3577459742 Enrollment ID: I20040225000054 |
| Provider Name | Tracey L Spinnato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356492839 PECOS PAC ID: 8921996448 Enrollment ID: I20040308000223 |
| Provider Name | Benjamin J Luft |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497770655 PECOS PAC ID: 4385535392 Enrollment ID: I20040322000082 |
| Provider Name | Robert Michael Mormando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306816129 PECOS PAC ID: 8729073036 Enrollment ID: I20040416000770 |
| Provider Name | Catherine Nicastri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1093730269 PECOS PAC ID: 8820084635 Enrollment ID: I20040426000211 |
| Provider Name | Michael P Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316915523 PECOS PAC ID: 6901894880 Enrollment ID: I20040501000291 |
| Provider Name | Laureen A Diot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235191370 PECOS PAC ID: 5294726758 Enrollment ID: I20040521001307 |
| Provider Name | Joseph P Boglia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467464297 PECOS PAC ID: 2769455773 Enrollment ID: I20040818000048 |
| Provider Name | Roderick Au Yeung Go |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558486555 PECOS PAC ID: 7315911591 Enrollment ID: I20040824000116 |
| Provider Name | Christine M Franke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487621637 PECOS PAC ID: 9234191552 Enrollment ID: I20041029000387 |
| Provider Name | Jennifer M Hensley |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881702124 PECOS PAC ID: 0244293124 Enrollment ID: I20041111000219 |
| Provider Name | Grace E Reina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669488615 PECOS PAC ID: 0042269136 Enrollment ID: I20050114000825 |
| Provider Name | Bettina C Fries |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457440877 PECOS PAC ID: 0749234441 Enrollment ID: I20050304000852 |
| Provider Name | Harold Flockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093734139 PECOS PAC ID: 8426004326 Enrollment ID: I20050323001260 |
| Provider Name | Diane Clausen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447256995 PECOS PAC ID: 7810930526 Enrollment ID: I20050603000503 |
| Provider Name | Lloyd Douglas Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811921463 PECOS PAC ID: 7911935101 Enrollment ID: I20050729000046 |
| Provider Name | Dara G Brener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750362695 PECOS PAC ID: 2264462068 Enrollment ID: I20050820000042 |
| Provider Name | Nadia S Ramesh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144284142 PECOS PAC ID: 0941220131 Enrollment ID: I20051202000263 |
| Provider Name | Ronni L Sollazzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518038009 PECOS PAC ID: 2769460989 Enrollment ID: I20060227000689 |
| Provider Name | Jasjit S Kochar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043255250 PECOS PAC ID: 4082621321 Enrollment ID: I20060313000209 |
| Provider Name | Xiaolei Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750496030 PECOS PAC ID: 3173529732 Enrollment ID: I20061005000091 |
| Provider Name | Mandeep K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588777502 PECOS PAC ID: 2860594736 Enrollment ID: I20071121000140 |
| Provider Name | Neha S Pawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093905804 PECOS PAC ID: 7113017815 Enrollment ID: I20071219000084 |
| Provider Name | Mathew A Tharakan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316068596 PECOS PAC ID: 9931281763 Enrollment ID: I20080131000516 |
| Provider Name | Jane A Koop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528025434 PECOS PAC ID: 4284718982 Enrollment ID: I20080219000654 |
| Provider Name | Patrick Gerard Lynch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841495256 PECOS PAC ID: 4789759994 Enrollment ID: I20080822000613 |
| Provider Name | Sadia A Abbasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740442698 PECOS PAC ID: 7517027121 Enrollment ID: I20081126000360 |
| Provider Name | Vladimir Stamoran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245439264 PECOS PAC ID: 1052407806 Enrollment ID: I20090416000522 |
| Provider Name | Jorge H Carpintero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568577872 PECOS PAC ID: 7618026816 Enrollment ID: I20090519000065 |
| Provider Name | Sarah R Pestieau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043499981 PECOS PAC ID: 3375698723 Enrollment ID: I20090908000534 |
| Provider Name | Riyaz B Kamadoli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093950677 PECOS PAC ID: 5799824694 Enrollment ID: I20091207000353 |
| Provider Name | Joan A Scalera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881812543 PECOS PAC ID: 7911047485 Enrollment ID: I20091214000387 |
| Provider Name | Jack Fuhrer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790710929 PECOS PAC ID: 7315081205 Enrollment ID: I20100216000312 |
| Provider Name | Heesuck Suh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699790816 PECOS PAC ID: 4981748100 Enrollment ID: I20100225000302 |
| Provider Name | William A Wertheim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174548200 PECOS PAC ID: 2062547912 Enrollment ID: I20100317000127 |
| Provider Name | Susan Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295760874 PECOS PAC ID: 8325176126 Enrollment ID: I20100517000006 |
| Provider Name | Suzanne D Fields |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629092820 PECOS PAC ID: 8921136722 Enrollment ID: I20100517000071 |
| Provider Name | Susan W Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427083161 PECOS PAC ID: 1254469950 Enrollment ID: I20100517000132 |
| Provider Name | Diane L Klein Ritter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053346767 PECOS PAC ID: 2466581855 Enrollment ID: I20100524000230 |
| Provider Name | Susan V Donelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285659292 PECOS PAC ID: 6709915143 Enrollment ID: I20100524000904 |
| Provider Name | David J Goodrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508891235 PECOS PAC ID: 0840329173 Enrollment ID: I20100525001067 |
| Provider Name | Donna F Heinemann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508891201 PECOS PAC ID: 7012047053 Enrollment ID: I20100617000387 |
| Provider Name | Kimberly A Kranz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326244294 PECOS PAC ID: 0446382774 Enrollment ID: I20100721000689 |
| Provider Name | Ranjana D Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407942147 PECOS PAC ID: 5395876650 Enrollment ID: I20100723000148 |
| Provider Name | Lisa A Strano-paul |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245255397 PECOS PAC ID: 4981737988 Enrollment ID: I20100728000065 |
| Provider Name | Sanjay Galhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124344411 PECOS PAC ID: 3779779129 Enrollment ID: I20101124000140 |
| Provider Name | Nita Kaul |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558363150 PECOS PAC ID: 1658362017 Enrollment ID: I20110104000052 |
| Provider Name | Opkar S Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871548776 PECOS PAC ID: 0547440471 Enrollment ID: I20110210000403 |
| Provider Name | Sharlaina C Sircar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487982328 PECOS PAC ID: 9133306061 Enrollment ID: I20110602000035 |
| Provider Name | Rachel G Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255598033 PECOS PAC ID: 6800073271 Enrollment ID: I20110613000204 |
| Provider Name | Syed Hussain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629269675 PECOS PAC ID: 8729265947 Enrollment ID: I20110615000324 |
| Provider Name | Venessa C Tan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780845669 PECOS PAC ID: 7911177985 Enrollment ID: I20110830000473 |
| Provider Name | Antonia Tharian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336444595 PECOS PAC ID: 3779758180 Enrollment ID: I20111214000281 |
| Provider Name | Zobaria Yaqoob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679862387 PECOS PAC ID: 4082881917 Enrollment ID: I20120118000379 |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225314941 PECOS PAC ID: 1658548599 Enrollment ID: I20120118000442 |
| Provider Name | Adina Claudia Musta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447453774 PECOS PAC ID: 0648438119 Enrollment ID: I20120301000258 |
| Provider Name | Justin M Waryold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619148327 PECOS PAC ID: 5496915704 Enrollment ID: I20120323000339 |
| Provider Name | Frederick S Hunte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295935070 PECOS PAC ID: 8921260324 Enrollment ID: I20120501000548 |
| Provider Name | Tanima Yaibuathes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669768255 PECOS PAC ID: 3779746185 Enrollment ID: I20120523000057 |
| Provider Name | Mohamed M Mansour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225276488 PECOS PAC ID: 5496931123 Enrollment ID: I20120619000173 |
| Provider Name | Shabnam Do Zoeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588898134 PECOS PAC ID: 7012173602 Enrollment ID: I20120726000152 |
| Provider Name | Irene Hwu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699936757 PECOS PAC ID: 6002063443 Enrollment ID: I20120820001189 |
| Provider Name | Geeta Savla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972767218 PECOS PAC ID: 6103004130 Enrollment ID: I20120914000639 |
| Provider Name | Alex Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801026554 PECOS PAC ID: 1254580426 Enrollment ID: I20121003000280 |
| Provider Name | Rebeka Sultana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750630133 PECOS PAC ID: 3779733373 Enrollment ID: I20121017000039 |
| Provider Name | Ainul Asif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376849828 PECOS PAC ID: 4688824477 Enrollment ID: I20121102000112 |
| Provider Name | Tamara L Augustin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336376797 PECOS PAC ID: 6406007194 Enrollment ID: I20121106000006 |
| Provider Name | Mara E Matkovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740423094 PECOS PAC ID: 2668624123 Enrollment ID: I20121207000070 |
| Provider Name | Veena Lingam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346483690 PECOS PAC ID: 1254583685 Enrollment ID: I20121212000146 |
| Provider Name | Chelsea Estrada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720221971 PECOS PAC ID: 8325292337 Enrollment ID: I20130128000591 |
| Provider Name | Sandeep K Mallipattu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619139094 PECOS PAC ID: 2567603418 Enrollment ID: I20130719000010 |
| Provider Name | Jignesh K Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568668895 PECOS PAC ID: 4688816341 Enrollment ID: I20130808000215 |
| Provider Name | Alexea M Gaffney-adams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609047067 PECOS PAC ID: 2860635331 Enrollment ID: I20130831000001 |
| Provider Name | John A Savino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023332079 PECOS PAC ID: 4587808407 Enrollment ID: I20130916000486 |
| Provider Name | Sahar Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669756193 PECOS PAC ID: 8123262615 Enrollment ID: I20130924000342 |
| Provider Name | Nicole Andrea Sagalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154641769 PECOS PAC ID: 2365676772 Enrollment ID: I20131017000818 |
| Provider Name | Getu Teressa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861719262 PECOS PAC ID: 5799910246 Enrollment ID: I20131108001455 |
| Provider Name | Gagandeep Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558503219 PECOS PAC ID: 5991931933 Enrollment ID: I20131120001877 |
| Provider Name | Scott A Stein |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073890810 PECOS PAC ID: 1951537596 Enrollment ID: I20131204000411 |
| Provider Name | Ronald A Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215253752 PECOS PAC ID: 4284862079 Enrollment ID: I20140127000003 |
| Provider Name | Johanna M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388695 PECOS PAC ID: 6608005426 Enrollment ID: I20140127001062 |
| Provider Name | Mashal Salehi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265701296 PECOS PAC ID: 3971753930 Enrollment ID: I20140603001615 |
| Provider Name | Sean R Campbell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831332329 PECOS PAC ID: 4284850389 Enrollment ID: I20140725001692 |
| Provider Name | Stephanie R Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770801268 PECOS PAC ID: 1850512542 Enrollment ID: I20141022000596 |
| Provider Name | Edris Alderwish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285959858 PECOS PAC ID: 3870714454 Enrollment ID: I20141023001929 |
| Provider Name | Christianah A Agunloye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700216454 PECOS PAC ID: 2769704006 Enrollment ID: I20141124000419 |
| Provider Name | Grace N Latorre |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023316528 PECOS PAC ID: 4981926094 Enrollment ID: I20141201000016 |
| Provider Name | Samira Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760778187 PECOS PAC ID: 2860717220 Enrollment ID: I20150206001774 |
| Provider Name | Muhammad Raza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255679817 PECOS PAC ID: 0941515621 Enrollment ID: I20150811004303 |
| Provider Name | Luis A Marcos-raymundo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205161015 PECOS PAC ID: 2567640634 Enrollment ID: I20150814012987 |
| Provider Name | Eera Jain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679839013 PECOS PAC ID: 0941516496 Enrollment ID: I20150831000464 |
| Provider Name | Jason M Layug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689041758 PECOS PAC ID: 7315247483 Enrollment ID: I20151120001213 |
| Provider Name | Melissa L Marji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053687806 PECOS PAC ID: 6709188873 Enrollment ID: I20160106001127 |
| Provider Name | Lidia Valjan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144690488 PECOS PAC ID: 1456641919 Enrollment ID: I20160613000910 |
| Provider Name | Lina Restrepo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134407943 PECOS PAC ID: 9537450044 Enrollment ID: I20160614000042 |
| Provider Name | Patricia G Ng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770843732 PECOS PAC ID: 8729205182 Enrollment ID: I20160617001313 |
| Provider Name | Ingrid Cantave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154613321 PECOS PAC ID: 1254626740 Enrollment ID: I20160823001633 |
| Provider Name | Lisa Galofaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558716720 PECOS PAC ID: 9133415052 Enrollment ID: I20160901000873 |
| Provider Name | Christopher M D'ambrosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942543459 PECOS PAC ID: 9234426206 Enrollment ID: I20160920001447 |
| Provider Name | Marshall C Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467897355 PECOS PAC ID: 1355639055 Enrollment ID: I20161012002707 |
| Provider Name | Minerva Sanchez-maharaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710394838 PECOS PAC ID: 6406134253 Enrollment ID: I20161028001079 |
| Provider Name | Glennis M Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932442100 PECOS PAC ID: 8224317011 Enrollment ID: I20161118000750 |
| Provider Name | Abida B Butler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982683173 PECOS PAC ID: 8729043559 Enrollment ID: I20170112002392 |
| Provider Name | Patricia Boromee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982700993 PECOS PAC ID: 1759502628 Enrollment ID: I20170323001284 |
| Provider Name | Farah Daccueil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992067565 PECOS PAC ID: 2961789326 Enrollment ID: I20170512000453 |
| Provider Name | Nancy A Balkon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144547522 PECOS PAC ID: 5991072662 Enrollment ID: I20170531000551 |
| Provider Name | Jacob Cho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922441039 PECOS PAC ID: 3870862592 Enrollment ID: I20170711003126 |
| Provider Name | Lorenzo F Ottaviano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225448715 PECOS PAC ID: 9739450875 Enrollment ID: I20170808000501 |
| Provider Name | Bennadette C Maramara |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427306851 PECOS PAC ID: 7113298266 Enrollment ID: I20170808000856 |
| Provider Name | Xin Fu Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306266952 PECOS PAC ID: 5193096170 Enrollment ID: I20170809003037 |
| Provider Name | Jamie N Mersten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497160790 PECOS PAC ID: 2264704683 Enrollment ID: I20170821001009 |
| Provider Name | Diana L Nido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891119749 PECOS PAC ID: 4486926821 Enrollment ID: I20170821001705 |
| Provider Name | Emel Cakir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568994267 PECOS PAC ID: 2062785082 Enrollment ID: I20170913000995 |
| Provider Name | Yun Y Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639606809 PECOS PAC ID: 4284908971 Enrollment ID: I20170919002203 |
| Provider Name | Anna Adam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306266705 PECOS PAC ID: 5597039859 Enrollment ID: I20170926000316 |
| Provider Name | Zhongju Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992124358 PECOS PAC ID: 1850667619 Enrollment ID: I20171023000939 |
| Provider Name | Louisette L Soussan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811263569 PECOS PAC ID: 0749546687 Enrollment ID: I20171109002751 |
| Provider Name | Lindsey F Schachter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548680382 PECOS PAC ID: 1658630561 Enrollment ID: I20180123002281 |
| Provider Name | Krista M O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366959678 PECOS PAC ID: 9931461589 Enrollment ID: I20180320002604 |
| Provider Name | Lora Lumubos Mamuyac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275053142 PECOS PAC ID: 2769744036 Enrollment ID: I20180326002534 |
| Provider Name | Rahul Raja Valluru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689938763 PECOS PAC ID: 0345503116 Enrollment ID: I20180409000071 |
| Provider Name | Gertha T Benoit Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679075089 PECOS PAC ID: 9830452564 Enrollment ID: I20180411001819 |
| Provider Name | Charles Kyriakos Vorkas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598059503 PECOS PAC ID: 6305101353 Enrollment ID: I20180523000798 |
| Provider Name | Sobia N Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568704872 PECOS PAC ID: 0244534287 Enrollment ID: I20180615000388 |
| Provider Name | Ellen Poulose Redger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598151623 PECOS PAC ID: 0648526988 Enrollment ID: I20180628003359 |
| Provider Name | Arani Patnaik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114305752 PECOS PAC ID: 7416204979 Enrollment ID: I20180716002160 |
| Provider Name | Ishan J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205263928 PECOS PAC ID: 0941557151 Enrollment ID: I20180719000437 |
| Provider Name | Zahra H Naseer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295152353 PECOS PAC ID: 7416209754 Enrollment ID: I20181015001270 |
| Provider Name | Sarah A Raziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699298588 PECOS PAC ID: 2567715709 Enrollment ID: I20181105002533 |
| Provider Name | Sutthichai Sae Tia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255541231 PECOS PAC ID: 8325113376 Enrollment ID: I20181214000889 |
| Provider Name | Celeste Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164996039 PECOS PAC ID: 8628317732 Enrollment ID: I20190307003028 |
| Provider Name | Michael G Moskovitz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366857468 PECOS PAC ID: 7719248582 Enrollment ID: I20190329000856 |
| Provider Name | Fatima D Sheikh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255746855 PECOS PAC ID: 7416291919 Enrollment ID: I20190604002028 |
| Provider Name | Rula A Abdulrahman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790180776 PECOS PAC ID: 4587997457 Enrollment ID: I20190607001034 |
| Provider Name | Kerim Odekon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164885208 PECOS PAC ID: 7214265495 Enrollment ID: I20190826003304 |
| Provider Name | Ju Eun Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871955625 PECOS PAC ID: 4284921933 Enrollment ID: I20190903001821 |
| Provider Name | Cecil V Philip |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891158580 PECOS PAC ID: 5395074025 Enrollment ID: I20190905002731 |
| Provider Name | Christopher J Murray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538521240 PECOS PAC ID: 5193054666 Enrollment ID: I20190909001620 |
| Provider Name | Narinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003279035 PECOS PAC ID: 6709115926 Enrollment ID: I20190912001104 |
| Provider Name | Farrukh M Koraishy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336108760 PECOS PAC ID: 2860411766 Enrollment ID: I20190913002663 |
| Provider Name | Yuan Yao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811351539 PECOS PAC ID: 4981998937 Enrollment ID: I20191028001353 |
| Provider Name | Azad Mojahedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801247929 PECOS PAC ID: 9931453750 Enrollment ID: I20191112002371 |
| Provider Name | Kanwal Farooq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023524618 PECOS PAC ID: 2668804683 Enrollment ID: I20191113001731 |
| Provider Name | Negin Yaghooti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811342678 PECOS PAC ID: 5092000547 Enrollment ID: I20191125000156 |
| Provider Name | Zhi J Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609228105 PECOS PAC ID: 2163769928 Enrollment ID: I20200108002785 |
| Provider Name | Haksoo Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013562891 PECOS PAC ID: 4880022995 Enrollment ID: I20200323002477 |
| Provider Name | Jacqueline J Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609416940 PECOS PAC ID: 6406284439 Enrollment ID: I20200325001043 |
| Provider Name | Hurline L Jeudy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083047674 PECOS PAC ID: 7012346588 Enrollment ID: I20200403001528 |
| Provider Name | Melissa E Lectura |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1043664550 PECOS PAC ID: 4183915168 Enrollment ID: I20200727000849 |
| Provider Name | Nancy N.s. Azab |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447639703 PECOS PAC ID: 8527391358 Enrollment ID: I20200805001193 |
| Provider Name | Sania Sultana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295144947 PECOS PAC ID: 8729359278 Enrollment ID: I20200805002732 |
| Provider Name | Alexandra J Pedicone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437680717 PECOS PAC ID: 5698048940 Enrollment ID: I20200807001484 |
| Provider Name | Nicole M Lum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740712751 PECOS PAC ID: 9830427319 Enrollment ID: I20200820002899 |
| Provider Name | Navdeep Kaur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366685612 PECOS PAC ID: 4486879855 Enrollment ID: I20200828001639 |
| Provider Name | Gilberte Fouche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568942910 PECOS PAC ID: 4587082011 Enrollment ID: I20200916000740 |
| Provider Name | Pollytia I Panagiotou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790149177 PECOS PAC ID: 4486983160 Enrollment ID: I20201002001523 |
| Provider Name | Rayeed Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568982312 PECOS PAC ID: 8921427352 Enrollment ID: I20201002002434 |
| Provider Name | Nargis Jilani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386175560 PECOS PAC ID: 6002236189 Enrollment ID: I20201009002541 |
| Provider Name | Darlin Sanoj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578108064 PECOS PAC ID: 6305266198 Enrollment ID: I20201016000535 |
| Provider Name | Apurva J Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396276978 PECOS PAC ID: 7416285945 Enrollment ID: I20201105001081 |
| Provider Name | Deepak K Kana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851710370 PECOS PAC ID: 3678830841 Enrollment ID: I20201112003060 |
| Provider Name | Stephanie E Hong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194257733 PECOS PAC ID: 8820326333 Enrollment ID: I20201224000586 |
| Provider Name | David N Hurley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861925299 PECOS PAC ID: 8022346519 Enrollment ID: I20201231000203 |
| Provider Name | Zaid T Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992236384 PECOS PAC ID: 0143595124 Enrollment ID: I20210217001364 |
| Provider Name | Patricia K Manna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497375620 PECOS PAC ID: 0446665509 Enrollment ID: I20210223001521 |
| Provider Name | Christine E Mouzakitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982228979 PECOS PAC ID: 2769891373 Enrollment ID: I20210512001134 |
| Provider Name | Tahmid Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982018537 PECOS PAC ID: 2163788548 Enrollment ID: I20210521000515 |
| Provider Name | Scott Michael Nettboy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831682202 PECOS PAC ID: 0244630689 Enrollment ID: I20210607002464 |
| Provider Name | Brandon C Ng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588169593 PECOS PAC ID: 4284962788 Enrollment ID: I20210629003511 |
| Provider Name | Joseph Paik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508360009 PECOS PAC ID: 8628470648 Enrollment ID: I20210714001151 |
| Provider Name | Keaira Cadijah Dupuy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164915484 PECOS PAC ID: 1355744756 Enrollment ID: I20210722002335 |
| Provider Name | Michael G Caputo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972095594 PECOS PAC ID: 7911300249 Enrollment ID: I20210726000177 |
| Provider Name | Michael M Kahen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225526882 PECOS PAC ID: 6002154499 Enrollment ID: I20210730001872 |
| Provider Name | Terri Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457631822 PECOS PAC ID: 1355745647 Enrollment ID: I20210809002748 |
| Provider Name | Muhammad Aslam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649775784 PECOS PAC ID: 5698170660 Enrollment ID: I20210830001377 |
| Provider Name | Benjamin G Palter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659877595 PECOS PAC ID: 3870821432 Enrollment ID: I20211110002931 |
| Provider Name | Sherlie Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700556149 PECOS PAC ID: 9133519234 Enrollment ID: I20211203002021 |
| Provider Name | Shiby Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790331452 PECOS PAC ID: 4880084995 Enrollment ID: I20211203002425 |
| Provider Name | Manju B Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265067466 PECOS PAC ID: 7315338522 Enrollment ID: I20211223000707 |
| Provider Name | Liza Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780347740 PECOS PAC ID: 8729479852 Enrollment ID: I20211229000706 |
| Provider Name | Audun J Lier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083077382 PECOS PAC ID: 2961739628 Enrollment ID: I20220105000136 |
| Provider Name | Madeleine Amelia Gondek-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235678004 PECOS PAC ID: 8628315769 Enrollment ID: I20220126002447 |
| Provider Name | Matthew Fisher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891038964 PECOS PAC ID: 5092109736 Enrollment ID: I20220223002014 |
| Provider Name | Alana S Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700381100 PECOS PAC ID: 8426442468 Enrollment ID: I20220308001674 |
| Provider Name | Caterine Rocio Warta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609528579 PECOS PAC ID: 6608262621 Enrollment ID: I20220331000162 |
| Provider Name | Akhtar Begum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700413325 PECOS PAC ID: 1850788670 Enrollment ID: I20220426002326 |
| Provider Name | Sarath G Nath |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265852446 PECOS PAC ID: 7416377601 Enrollment ID: I20220519001895 |
| Provider Name | Rasan K Cherala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033775655 PECOS PAC ID: 6507199734 Enrollment ID: I20220520002333 |
| Provider Name | Karissa L Weidman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598113078 PECOS PAC ID: 3577859487 Enrollment ID: I20220725001298 |
| Provider Name | Feyzullah Aksan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285195693 PECOS PAC ID: 9931582731 Enrollment ID: I20220811001048 |
| Provider Name | Robert T Sexton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528563863 PECOS PAC ID: 6507103934 Enrollment ID: I20220811001298 |
| Provider Name | Christine H Feng |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801399977 PECOS PAC ID: 4082099049 Enrollment ID: I20220913000496 |
| Provider Name | Matthew J Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013400886 PECOS PAC ID: 5698020592 Enrollment ID: I20220913003248 |
| Provider Name | Meghana Rao |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1437648656 PECOS PAC ID: 8224414149 Enrollment ID: I20220929003514 |
| Provider Name | Rohan R Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467913236 PECOS PAC ID: 8426434044 Enrollment ID: I20221005003014 |
| Provider Name | Sybil A Oommen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467186858 PECOS PAC ID: 7416333919 Enrollment ID: I20221006002899 |
| Provider Name | Darya Haurylava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033862412 PECOS PAC ID: 1759757123 Enrollment ID: I20221026002719 |
| Provider Name | Peter Igarashi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225007792 PECOS PAC ID: 0042353385 Enrollment ID: I20221122000752 |
| Provider Name | Matthew J Skaritka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528464674 PECOS PAC ID: 6305216144 Enrollment ID: I20230112000569 |
| Provider Name | Lindsay E Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801511944 PECOS PAC ID: 4981075595 Enrollment ID: I20230118002181 |
| Provider Name | Deborah Mccaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518681634 PECOS PAC ID: 0941675854 Enrollment ID: I20230406001594 |
| Provider Name | Rachele M Dambrosio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285333435 PECOS PAC ID: 6406211309 Enrollment ID: I20230428000406 |
| Provider Name | James R Mattson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659908234 PECOS PAC ID: 6901264050 Enrollment ID: I20230621002437 |
| Provider Name | Michael J Ferrigno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992332340 PECOS PAC ID: 5597123471 Enrollment ID: I20230626000678 |
| Provider Name | Farhan A Chowdhury |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1073001004 PECOS PAC ID: 7810357951 Enrollment ID: I20230720001556 |
| Provider Name | Kristen Mckasty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053082727 PECOS PAC ID: 0042670184 Enrollment ID: I20230720001753 |
| Provider Name | Adela Rose L Abogado-mui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679102099 PECOS PAC ID: 5597127209 Enrollment ID: I20230811003173 |
| Provider Name | Eric J Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508494998 PECOS PAC ID: 7416319678 Enrollment ID: I20230821000605 |
| Provider Name | Eddy B Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962030056 PECOS PAC ID: 8123481884 Enrollment ID: I20230828003557 |
| Provider Name | Timothy Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609371137 PECOS PAC ID: 8729317912 Enrollment ID: I20230905002554 |
| Provider Name | Angela V Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760987861 PECOS PAC ID: 6406219625 Enrollment ID: I20230905003463 |
| Provider Name | Rashmi Pillai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326674367 PECOS PAC ID: 6204290455 Enrollment ID: I20230907000238 |
| Provider Name | Sylvia H Nicholis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265967913 PECOS PAC ID: 0749557809 Enrollment ID: I20230907002630 |
| Provider Name | Reine M Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376107748 PECOS PAC ID: 3173978087 Enrollment ID: I20231012003314 |
| Provider Name | Sam T Mendoune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597469 PECOS PAC ID: 3375998958 Enrollment ID: I20231017003137 |
| Provider Name | Daniel M Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306472287 PECOS PAC ID: 1850746306 Enrollment ID: I20231018002285 |
| Provider Name | Janey K James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235767690 PECOS PAC ID: 2769838291 Enrollment ID: I20231019002436 |
| Provider Name | Mohamed Hassan Kamel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003162173 PECOS PAC ID: 8921321860 Enrollment ID: I20231101001023 |
| Provider Name | Abdurrahman Ozgur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427611821 PECOS PAC ID: 8022465459 Enrollment ID: I20231107002221 |
| Provider Name | Arnavi N Varshney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407477482 PECOS PAC ID: 4587011945 Enrollment ID: I20231107003747 |
| Provider Name | Zeina Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669009437 PECOS PAC ID: 1850740002 Enrollment ID: I20231213000928 |
| Provider Name | Bebie Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871282681 PECOS PAC ID: 7618327750 Enrollment ID: I20240102001469 |
| Provider Name | Madieska Ramirez |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1649652736 PECOS PAC ID: 5799029765 Enrollment ID: I20240105000538 |
| Provider Name | Victoria A Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740060904 PECOS PAC ID: 1254774516 Enrollment ID: I20240205000483 |
| Provider Name | Aikaterini Papamanoli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780241091 PECOS PAC ID: 0547597080 Enrollment ID: I20240321003483 |
| Provider Name | Denise J Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104477140 PECOS PAC ID: 2466885645 Enrollment ID: I20240327000559 |
| Provider Name | Claudia M Provenzale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245009547 PECOS PAC ID: 6709224942 Enrollment ID: I20240405002730 |
| Provider Name | Kevin J Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396454435 PECOS PAC ID: 2961840194 Enrollment ID: I20240406000149 |
| Provider Name | Jessica E Soltan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154105955 PECOS PAC ID: 1153762794 Enrollment ID: I20240514000136 |
| Provider Name | Lauren N Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780435891 PECOS PAC ID: 7315489085 Enrollment ID: I20240610001664 |
| Provider Name | Layla C Barrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447788575 PECOS PAC ID: 5294151130 Enrollment ID: I20240614001193 |
| Provider Name | Marilena Mirica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184660003 PECOS PAC ID: 2567472087 Enrollment ID: I20240614001761 |
Stonybrook University Student Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Rd, Stony Brook, NY 11794 Phone: 631-632-6740 Fax: 631-632-6936 | |
Bassam Hossain Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Mosshill Pl, Stony Brook, NY 11790 Phone: 516-838-9955 | |
Suny At Stony Brook University Infirmary Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Rd, Stony Brook, NY 11794 Phone: 631-632-6804 Fax: 631-632-6936 | |
Stony Brook Internists, University Faculty Practice Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794 Phone: 631-444-2448 | |
Stony Brook Internists, University Faculty Practice Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794 Phone: 631-444-2448 | |
Sound Endocrinology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy, Bldg. 3c, Stony Brook, NY 11790 Phone: 631-751-2400 Fax: 631-751-8323 | |
Stony Brook Internists, University Faculty Practice Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794 Phone: 631-444-2448 |