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STONY BROOK PEDIATRICS, PC
NPI 1841364288
Pediatrics in Dansville, NY

Active since November 18, 2006CLIA 33D0171775 · Microscopy
22 RED JACKET STREET, DANSVILLE, NY 14437(585) 335-5200(585) 335-8579 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stony Brook Pediatrics, Pc NPPES

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

STONY BROOK PEDIATRICS, PC (NPI 1841364288) is a healthcare organization registered as a pediatrics in Dansville, New York and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Joan E Flender, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1841364288
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSTONY BROOK PEDIATRICS, PC
Location Address22 RED JACKET STREETDansville, NY 14437-0491
Mailing Address22 Red Jacket Street, Po Box 499Dansville, NY 14437-0491 · (585) 335-5200 · Fax (585) 335-8579
Phone(585) 335-5200
Fax(585) 335-8579
Organization SubpartNo
Authorized OfficialJoan E FlenderMedical Director · (585) 335-5200
Enumeration DateNovember 18, 2006
Last NPPES UpdateJuly 31, 2019
✔ NPI 1841364288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 RED JACKET STREET, Dansville, NY 14437
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 33D0171775

Stony Brook Pediatrics · Dansville, NY
Active · expires Dec 22, 2027
CLIA Number33D0171775
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJoan E. Flender
Laboratory Phone(585) 335-5200
Laboratory LocationStony Brook Pediatrics22 Red Jacket St, Dansville, NY 14437
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHRYN ANESA BENNETT PNP
Pediatrics
22 RED JACKET STREET
DANSVILLE, NY 14437
Livingston County (585) 335-5200
PENELOPE L PARRIS MD
Pediatrics
22 RED JACKET STREET
DANSVILLE, NY 14437
Livingston County (585) 335-5200

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 Pediatrics, PC's NPI number?

The NPI number for Stony Brook Pediatrics, PC is 1841364288. It was assigned to this organization in the NPPES registry on November 18, 2006.

Where is Stony Brook Pediatrics, PC located?

Stony Brook Pediatrics, PC is located at 22 Red Jacket Street, Dansville, NY 14437. The listed phone number is (585) 335-5200.

What is Stony Brook Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Stony Brook Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0171775) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stony Brook Pediatrics, PC was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.