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STONY BROOK UNIVERSITY MEDICAL CENTER
NPI 1487850251
Student in an Organized Health Care Education/Training Program in Coram, NY

Active since June 26, 2007
2428 AVALON PINES DR, CORAM, NY 11727(917) 699-3460 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stony Brook University Medical Center NPPES

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

STONY BROOK UNIVERSITY MEDICAL CENTER (NPI 1487850251) is a healthcare organization registered as a student in an organized health care education/training program in Coram, New York and active in the NPI registry since June 2007. The organization lists Jill Caren Bergson, Resident Physician, as its authorized official.

NPPES Registry Identity

NPI1487850251
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameSTONY BROOK UNIVERSITY MEDICAL CENTER
Location Address2428 AVALON PINES DRCoram, NY 11727-5169
Mailing Address2428 Avalon Pines DrCoram, NY 11727-5169
Phone(917) 699-3460
Organization SubpartNo
Authorized OfficialJill Caren BergsonResident Physician · (917) 699-3460
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487850251 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.
2428 AVALON PINES DR, Coram, NY 11727
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 University Medical Center's NPI number?

The NPI number for Stony Brook University Medical Center is 1487850251. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Stony Brook University Medical Center located?

Stony Brook University Medical Center is located at 2428 Avalon Pines Dr, Coram, NY 11727. The listed phone number is (917) 699-3460.

What is Stony Brook University Medical Center'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 Stony Brook University Medical Center 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.