DR. PONS TIMOTHY MATERUM III MD
NPI 1861079220
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Pons Materum's NPI number?

The NPI number for Pons Materum is 1861079220. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Pons Materum'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 Pons Materum was last updated on March 24, 2021. 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.

Active since March 24, 2021

UNIVERSITY HOSPITAL LEVEL 2, ROOM 749, STONY BROOK, NY 11794(651) 444-2224 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Pons Timothy Materum Iii Md NPPES

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

DR. PONS TIMOTHY MATERUM III MD (NPI 1861079220) 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 2021.

NPPES Registry Identity

NPI1861079220

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PONS TIMOTHY MATERUM IIICredential: MD

Location AddressUNIVERSITY HOSPITAL LEVEL 2, ROOM 749Stony Brook, NY 11794-0001

Mailing AddressUniversity Hospital Level 2, Room 749Stony Brook, NY 11794-0001 · (631) 444-2224

Phone(651) 444-2224

Sole ProprietorNo

Enumeration DateMarch 24, 2021

NPPES CertifiedMarch 24, 2021

✔ NPI 1861079220 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.

UNIVERSITY HOSPITAL LEVEL 2, ROOM 749, Stony Brook, NY 11794

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Other Providers at the Same Location NPPES

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

HAMAMA TUL BUSHRA MD

Student in an Organized Health Care Education/Training Program

UNIVERSITY HOSPITAL LEVEL 2, ROOM 749
STONY BROOK, NY 11794

Suffolk County (630) 915-8148

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 Pons Materum's NPI number?

The NPI number for Pons Materum is 1861079220. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Pons Materum located?

Pons Materum practices at University Hospital Level 2, Room 749, Stony Brook, NY 11794. The listed phone number is (651) 444-2224.

What is Pons Materum'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 Pons Materum was last updated on March 24, 2021. 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.