JANE T KUGACZEWSKI MD PEDIATRIC SURGERY PC NPI 1487998886

NPI Information

NPI: 1487998886
Provider Name: JANE T KUGACZEWSKI MD PEDIATRIC SURGERY PC
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
2500 NESCONSET HWY
BLDG 16B SUITE 62
STONY BROOK, NY
ZIP 11790
Phone: (631) 689-5695
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JANE T KUGACZEWSKI MD PEDIATRIC SURGERY PC is a pediatric surgery surgery in Stony Brook, NY. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. JANE T KUGACZEWSKI MD PEDIATRIC SURGERY PC NPI is 1487998886. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 NESCONSET HWY
BLDG 16B SUITE 62
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 689-5695
Fax: (631) 689-3073

The provider's authorized official is Jane T Kugaczewski .
The authorized official title is President and has the following contact phone number (631) 689-5695.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	169901	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01623138	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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