STONEYBROOK PHYSICIANS
NPI 1174656862
Clinic/Center - Federally Qualified Health Center (FQHC) in Newport News, VA

Q: What is Peninsula Institute For Community Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 13, 2007CLIA 49D0944077 · Waiver

15425H WARWICK BLVD, NEWPORT NEWS, VA 23608(757) 874-8400(757) 874-2295 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stoneybrook Physicians NPPES

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

STONEYBROOK PHYSICIANS (NPI 1174656862) is a healthcare organization registered as a federally qualified health center (fqhc) in Newport News, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Angela Futrell, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174656862

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC

Location Address15425H WARWICK BLVDNewport News, VA 23608

Mailing Address1033 28th St, 2nd FloorNewport News, VA 23607-4233 · (757) 591-0643 · Fax (757) 591-0682

Phone(757) 874-8400

Fax(757) 874-2295

Organization SubpartNo

Authorized OfficialAngela FutrellChief Executive Officer · (757) 591-0643

Enumeration DateMarch 13, 2007

Last NPPES UpdateSeptember 24, 2010

✔ NPI 1174656862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

15425H WARWICK BLVD, Newport News, VA 23608

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Other Names 1

Doing Business AsStoneybrook Physicians

Other Identifiers 3

Medicaid007687648VA

Medicare PINC05835VA

Medicare OSCAR/certification491856VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0944077

Stoneybrook Physicians · Newport News, VA

Active · expires Jan 24, 2027

CLIA Number49D0944077

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorAlade R. Delahoussaye, MD

Laboratory Phone(757) 874-8400

Laboratory LocationStoneybrook Physicians15425 Warwick Boulevard, Newport News, VA 23608

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Peninsula Institute For Community Health Inc's NPI number?

The NPI number for Peninsula Institute For Community Health Inc is 1174656862. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Stoneybrook Physicians.

Where is Peninsula Institute For Community Health Inc located?

Peninsula Institute For Community Health Inc is located at 15425H Warwick Blvd, Newport News, VA 23608. The listed phone number is (757) 874-8400.

What is Peninsula Institute For Community Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Peninsula Institute For Community Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0944077) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Institute For Community Health Inc was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.