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DR. RICHARD FINE M.D.
NPI 1114960697
Pediatrics - Pediatric Nephrology in Stony Brook, NY

Active since June 13, 2006PECOS Enrolled
100 NICOLLS RD, HSC T-11, RM 060, STONY BROOK, NY 11790(631) 444-7884 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Fine M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD FINE M.D. (NPI 1114960697) is an individual pediatric nephrology provider in Stony Brook, New York, licensed in New York (184494) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114960697
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameDR. RICHARD FINECredential: M.D.
Location Address100 NICOLLS RD, HSC T-11, RM 060Stony Brook, NY 11790-3407
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-7884
Phone(631) 444-7884
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 21, 2015
✔ NPI 1114960697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in NY · 184494
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
100 NICOLLS RD, Stony Brook, NY 11790
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Fine M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ATIQ KHAN M.D.
Internal Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1665
ARYEL MOMPLAISIR NP
Nurse Practitioner (Adult Health)
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 632-6000
XIN FU LIN D.O.
Family Medicine
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-8478
DR. DANIEL DAVID CARRIS DO
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11790
Suffolk County (631) 444-7411
NANCY ANN ENTERLIN NP
Nurse Practitioner
100 NICOLLS RD, STONY BROOK UNIVERSITY MEDICAL CENTER, L11 N
STONY BROOK, NY 11790
Suffolk County (631) 444-2730
CHRISTOPHER EDELSTEIN RPA
Physician Assistant
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1000
JACKLYN CHO
Student in an Organized Health Care Education/Training Program
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 444-1791
DR. IVAN LUKACHYNETS DDS
Dentist
100 NICOLLS RD
STONY BROOK, NY 11790
Suffolk County (631) 632-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Fine's NPI number?

The NPI number for Richard Fine is 1114960697. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Richard Fine located?

Richard Fine practices at 100 Nicolls Rd Hsc T-11, Rm 060, Stony Brook, NY 11790. The listed phone number is (631) 444-7884.

What is Richard Fine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Richard Fine enrolled in Medicare?

Yes. Richard Fine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Fine was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.