STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
NPI 1083660575
Pediatrics in Stony Brook, NY

NPI Status: Active since May 26, 2006

Contact Information

SUNY @ STONY BROOK
HSC, L11, RM 020
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-1362

Get Directions Write a Review

  • Organization
  • Pediatrics
  • CLIA Number: 33D2011541
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 03-26-2027

About STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO

This page provides the complete NPI Profile along with additional information for Stony Brook Children's Service, University Faculty Practice Corporatio, a pediatrician established in Stony Brook, New York operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1083660575 assigned on May 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Stony Brook Children's Service, University Faculty Practice Corporatio operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Margaret Mcgovern M.d. (Chair Person)

NPI
1083660575
Provider Name
STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO
Entity Type
Organization
Location Address
SUNY @ STONY BROOK HSC, L11, RM 020 STONY BROOK, NY 11794
Location Phone
(631) 444-1362
Mailing Address
PO BOX 1554 STONY BROOK, NY 11790
Mailing Phone
(631) 444-1362
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2006
Last Update Date
02-27-2015
Code Navigator

A pediatrician like Stony Brook Children's Service, University Faculty Practice Corporatio is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARGARET MCGOVERN M.D.

Authorized Official Title
CHAIR PERSON
Authorized Official Phone
(631) 444-1362

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02291087MEDICAID (05)NY 
W91061MEDICARE PIN (08)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2011541
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
August 18, 2010
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. WILLIAM M. CALDWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Stony Brook Children's Service, University Faculty Practice Corporatio to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for STONY BROOK CHILDREN'S SERVICE, UNIVERSITY FACULTY PRACTICE CORPORATIO

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083660575, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 2 + 6 + 0 + 5 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1083660575.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
SUNY @ STONY BROOK, UNIVERSITY HOSPITAL, L4, RM 515
STONY BROOK, NY 11794
Internal Medicine (Medical Oncology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine (Nephrology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine (Pulmonary Disease)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine (Endocrinology, Diabetes & Metabolism)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine (Hematology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Ophthalmology
SUNY @ STONY BROOK, HSC, L2, RM 152
STONY BROOK, NY 11794
Internal Medicine (Infectious Disease)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Internal Medicine (Rheumatology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Surgery
SUNY @ STONY BROOK, HSC, L19, RM 020
STONY BROOK, NY 11794
Orthopaedic Surgery
SUNY @ STONY BROOK, HSC, L18, RM 080
STONY BROOK, NY 11794
Dermatology
SUNY @ STONY BROOK, HSC, L16, RM 060
STONY BROOK, NY 11794
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
SUNY @ STONY BROOK, HSC, L3, RM 086
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794
Anesthesiology
SUNY @ STONY BROOK, HSC, L4, RM 060
STONY BROOK, NY 11794
Psychiatry & Neurology (Psychiatry)
SUNY @ STONY BROOK, HSC, L10, RM 020
STONY BROOK, NY 11794
Neurological Surgery
SUNY @ STONY BROOK, HSC, L12, RM 080
STONY BROOK, NY 11794
Family Medicine
SUNY @ STONY BROOK, HSC, L4, RM 050
STONY BROOK, NY 11794
Registered Nurse (Cardiac Rehabilitation)
SUNY @ STONY BROOK, HSC, L16, RM 020
STONY BROOK, NY 11794

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083660575, enumerated as an "organization" on May 26, 2006.

The provider is located at SUNY @ STONY BROOK HSC, L11, RM 020 STONY BROOK, NY 11794 and the phone number is (631) 444-1362.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.