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GREGORY H MOONEY
NPI 1710484720
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 07, 2018PECOS Enrolled
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-2020(631) 444-2894 Get Directions Write a Review

NPPES record last updated: April 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory H Mooney NPPES

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

GREGORY H MOONEY (NPI 1710484720) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710484720
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGREGORY H MOONEY
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-2020 · Fax (631) 444-2894
Phone(631) 444-2020
Fax(631) 444-2894
Sole ProprietorNo
Enumeration DateApril 7, 2018
✔ NPI 1710484720 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.

101 NICOLLS RD, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory H Mooney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MS. DOREEN MASSEY ELITHARP NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-8333
ELIZABETH M SHORTELL NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
101 NICOLLS RD, HSC-T17 ROOM 040/DIVISION OD PULMONARY MEDICINE
STONY BROOK, NY 11794
Suffolk County (631) 444-7786
MR. MARC PELUSO CRNA
Nurse Anesthetist, Certified Registered
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333
DAWN-MARIE SCHMITZ N.P.
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1776
JENNIFER L TOSCANO N.P.
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-6000
DIANA YU
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. LISA MARIE TERRANA M.D.
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
STONY BROOK UNIVERSITY HOSPITAL
General Acute Care Hospital (Children)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
MISS JOZAN ERICA BRATHWAITE M.D.
Pediatrics
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-2020
CAROL LETHIN LMSW
Social Worker
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-2552
MS. JUDE WEBBER ANP-C
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-3821
DR. BRIAN DANIEL BRONSON M.D.
Psychiatry & Neurology (Psychiatry)
101 NICOLLS RD, HSC T-10, ROOM 020
STONY BROOK, NY 11794
Suffolk County (631) 444-2990
NICOLE IMBASCIANI NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1066
DR. MICHELLE A DAVIS RPH
Pharmacist
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-7714
DR. THOMAS DEMUNDO PHARM.D.
Pharmacist (Pharmacotherapy)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-2680
SADIA ARIF ABBASI MD
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1665
DR. LEI HUANG DDS
Dentist (General Practice)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 632-8930
URSZULA ELIZABETH SUND ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD, HOSPITAL T- 18030, HEALTH SCIENCE CENTER
STONY BROOK, NY 11794
Suffolk County (631) 444-3577
DR. JOHN ANTHONY SULLIVAN M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
HENRY H WOO MD
Neurological Surgery
101 NICOLLS RD, CV CENTER, HOSP LEVEL 4, RM 430
STONY BROOK, NY 11794
Suffolk County (631) 444-9137

Frequently Asked Questions

What is Gregory Mooney's NPI number?

The NPI number assigned to this healthcare provider is 1710484720, enumerated as an "individual" on April 07, 2018.

Where is the provider located?

The provider is located at 101 NICOLLS RD STONY BROOK, NY 11794 and the phone number is (631) 444-2020.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.