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MARY IMMACULATE HOSPITAL
NPI 1245364223
General Acute Care Hospital - Critical Access in Stony Brook, NY

Active since March 14, 2007
24 NIGHT HERON DR, STONY BROOK, NY 11790(631) 689-5654(718) 558-2166 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Immaculate Hospital NPPES

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

MARY IMMACULATE HOSPITAL (NPI 1245364223) is a healthcare organization registered as a critical access in Stony Brook, New York and active in the NPI registry since March 2007. The organization lists Usha C Ruder, Chair, Pathology Department, as its authorized official.

NPPES Registry Identity

NPI1245364223
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameMARY IMMACULATE HOSPITAL
Location Address24 NIGHT HERON DRStony Brook, NY 11790-1108
Mailing Address152-11 89th Ave., Mary Immaculate Hospital ,Jamaica, NY 11432-1108 · (718) 558-2714 · Fax (718) 558-2166
Phone(631) 689-5654
Fax(718) 558-2166
Organization SubpartNo
Authorized OfficialUsha C RuderChair, Pathology Department · (715) 558-2714
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245364223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in NY · 115646
24 NIGHT HERON DR, Stony Brook, NY 11790
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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 Mary Immaculate Hospital's NPI number?

The NPI number for Mary Immaculate Hospital is 1245364223. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Mary Immaculate Hospital located?

Mary Immaculate Hospital is located at 24 Night Heron Dr, Stony Brook, NY 11790. The listed phone number is (631) 689-5654.

What is Mary Immaculate Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

When was this NPI record last updated?

The NPPES record for Mary Immaculate Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.