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ANDREY MOISEYENKO DO
NPI 1154066074
Student in an Organized Health Care Education/Training Program in Southampton, NY

Active since May 04, 2022
240 MEETING HOUSE LANE, STONY BROOK SOUTHAMPTON HOSPITAL INTERN MEDICINE, SOUTHAMPTON, NY 11968(631) 726-0409 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2023, May 4, 2022 (2 updates tracked since 2022).

About Andrey Moiseyenko Do NPPES

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

ANDREY MOISEYENKO DO (NPI 1154066074) is an individual student in an organized health care education/training program in Southampton, New York and active in the NPI registry since May 2022. He maintains a secondary practice location in Riverhead.

NPPES Registry Identity

NPI1154066074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREY MOISEYENKOCredential: DO
Location Address240 MEETING HOUSE LANE, STONY BROOK SOUTHAMPTON HOSPITAL INTERN MEDICINESouthampton, NY 11968
Mailing Address240 Meeting House Lane, Stony Brook Southampton Hospital Intern MedicineSouthampton, NY 11968
Phone(631) 726-0409
Sole ProprietorNo
Enumeration DateMay 4, 2022
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1154066074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
240 MEETING HOUSE LANE, Southampton, NY 11968
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Secondary Practice Location 1

Location 11 Heroes Way, Peconic Bay Medical Center Graduate Medical educationRiverhead, NY 11901 · Phone (631) 548-6446

Other Providers at the Same Location NPPES 4

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

UNIVERSITY HOSPITAL AT STONY BROOK
General Acute Care Hospital
240 MEETING HOUSE LANE
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200
MS. SARA NARDI PA
Physician Assistant
240 MEETING HOUSE LANE, SURGICAL SPECIALTIES
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8717
CAROL ANNE LUNT NP
Nurse Practitioner (Obstetrics & Gynecology)
240 MEETING HOUSE LANE
SOUTHHAMPTON, NY 11968
Suffolk County (631) 852-8853
SANG I PAK MD
Surgery
240 MEETING HOUSE LANE, SURGICAL SPECIALTIES OFFICE
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8717

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 Andrey Moiseyenko's NPI number?

The NPI number for Andrey Moiseyenko is 1154066074. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Andrey Moiseyenko located?

Andrey Moiseyenko practices at 240 Meeting House Lane Stony Brook Southampton Hospital Intern Medicine, Southampton, NY 11968. The listed phone number is (631) 726-0409.

What is Andrey Moiseyenko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrey Moiseyenko was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.