JOHN ANTHONY SERVIDER
NPI 1366079048
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is John Servider's NPI number?

The NPI number for John Servider is 1366079048. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is John Servider's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Servider was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 24, 2020

HSC L12 ROOM 80, STONY BROOK, NY 11794(631) 444-8104 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Anthony Servider NPPES

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

JOHN ANTHONY SERVIDER (NPI 1366079048) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1366079048

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN ANTHONY SERVIDER

Location AddressHSC L12 ROOM 80Stony Brook, NY 11794-0001

Mailing AddressHsc L12 Room 80Stony Brook, NY 11794-0001 · (631) 444-8104

Phone(631) 444-8104

Sole ProprietorNo

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1366079048 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.

HSC L12 ROOM 80, Stony Brook, NY 11794

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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 John Servider's NPI number?

The NPI number for John Servider is 1366079048. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is John Servider located?

John Servider practices at Hsc L12 Room 80, Stony Brook, NY 11794. The listed phone number is (631) 444-8104.

What is John Servider'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 John Servider was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.