STONEYBROOK PHYSICIANS
NPI 1275810152
Clinic/Center - Federally Qualified Health Center (FQHC) in Newport News, VA

Active since November 07, 2011CLIA 49D0944077 · Waiver
15425 WARWICK BLVD # D, NEWPORT NEWS, VA 23608(757) 874-8400(757) 874-2295 Get Directions Write a Review

NPPES record last updated: November 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stoneybrook Physicians NPPES

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

STONEYBROOK PHYSICIANS (NPI 1275810152) is a healthcare organization registered as a federally qualified health center (fqhc) in Newport News, Virginia and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Angela Futrell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275810152
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Location Address15425 WARWICK BLVD # DNewport News, VA 23608-1579
Mailing Address1033 28th St, 2nd FloorNewport News, VA 23607-4233 · (757) 591-0643 · Fax (757) 874-2295
Fax(757) 874-2295
Organization SubpartNo
Authorized OfficialAngela FutrellExecutive Director · (757) 591-0643
Enumeration DateNovember 7, 2011
NPI 1275810152 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
15425 WARWICK BLVD # D, Newport News, VA 23608

Other Names 1

Doing Business AsStoneybrook Physicians

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: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275810152, enumerated as an "organization" on November 07, 2011.

The provider is located at 15425 WARWICK BLVD # D NEWPORT NEWS, VA 23608 and the phone number is (757) 874-8400.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).