STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO – NPI #1730126517
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO is a radiologist located in STONY BROOK, NY. NPPES has assigned the NPI number 1730126517 to STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO on June 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 11 years ago on Dec 22, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO below.

NPI Profile for
STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO

NPI Number
1730126517
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO
Primary location
SUNY @ STONY BROOK
HSC, L2, RM 643
STONY BROOK, NY 11797
Phone: (631) 444-2206 Fax:
Mailing address
PO BOX 1554
STONY BROOK, NY 11790-0988
Phone: (631) 444-2206 Fax:
Organization Subpart
No
Authorized Official
SAMUEL RYU
CHAIR PERSON
Phone: (631) 444-2206
Updated
Identifiers

Identifiers for STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00822642
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.