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STONY BROOK HOLISTIC WELLNESS, LLC
NPI 1235923269
Nurse Practitioner in Stony Brook, NY

Active since April 07, 2025
2500 NESCONSET HWY BLDG 26, STONY BROOK, NY 11790(631) 364-9038 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2026, Apr 7, 2025 (2 updates tracked since 2025).

About Stony Brook Holistic Wellness, Llc NPPES

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

STONY BROOK HOLISTIC WELLNESS, LLC (NPI 1235923269) is a healthcare organization registered as a nurse practitioner in Stony Brook, New York and active in the NPI registry since April 2025. The organization lists Raymond Louis, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235923269
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSTONY BROOK HOLISTIC WELLNESS, LLC
Location Address2500 NESCONSET HWY BLDG 26Stony Brook, NY 11790-2555
Mailing Address2500 Nesconset Hwy Bldg 26Stony Brook, NY 11790-2555 · (631) 364-9038
Phone(631) 364-9038
Organization SubpartNo
Authorized OfficialRaymond LouisCfo · (631) 653-1007
Enumeration DateApril 7, 2025
Last NPPES UpdateApril 25, 20262 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
✔ NPI 1235923269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2500 NESCONSET HWY BLDG 26, Stony Brook, NY 11790
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

STEPHEN PROBST MD PC
Pain Medicine (Pain Medicine)
2500 NESCONSET HWY BLDG 26
STONY BROOK, NY 11790
Suffolk County (631) 364-9038
KATHLEEN MAURO CPT ACE
Technician (Personal Care Attendant)
2500 NESCONSET HWY BLDG 26
STONY BROOK, NY 11790
Suffolk County (631) 364-9038
STEPHEN ALBERT PROBST MD
Anesthesiology
2500 NESCONSET HWY BLDG 26
STONY BROOK, NY 11790
Suffolk County (631) 364-9038

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 Stony Brook Holistic Wellness, LLC's NPI number?

The NPI number for Stony Brook Holistic Wellness, LLC is 1235923269. It was assigned to this organization in the NPPES registry on April 7, 2025.

Where is Stony Brook Holistic Wellness, LLC located?

Stony Brook Holistic Wellness, LLC is located at 2500 Nesconset Hwy Bldg 26, Stony Brook, NY 11790. The listed phone number is (631) 364-9038.

What is Stony Brook Holistic Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Stony Brook Holistic Wellness, LLC was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.