STEPHANIE BOLOGNESE RN NPI 1730384215

NPI Information

NPI: 1730384215
Provider Name: STEPHANIE BOLOGNESE, RN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
1 HOPEWELL DR
STONY BROOK, NY
ZIP 11790
Phone: (631) 689-0234
Get Directions

Stephanie Bolognese, RN is a general practice registered nurse in Stony Brook, NY. Stephanie Bolognese, RN NPI is 1730384215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 HOPEWELL DR
STONY BROOK, NY
ZIP 11790-323
Phone: (631) 689-0234
Fax: (631) 675-0262

The enumeration date for this NPI number is 6/15/2007 and was last updated on 3/21/2024.

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	163W00000X	Registered Nurse		542792-1	NEW YORK	No
2	163WS0200X	Registered Nurse	School	542792-1	NEW YORK	No
3	163WG0000X	Registered Nurse	General Practice	542792-1	NEW YORK	Yes
4	163WH0200X	Registered Nurse	Home Health	542792-1	NEW YORK	No
5	163WH1000X	Registered Nurse	Hospice	542792-1	NEW YORK	No
6	163WP0200X	Registered Nurse	Pediatrics	542792-1	NEW YORK	No
7	163WR0400X	Registered Nurse	Rehabilitation	542792-1	NEW YORK	No
8	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	542792-1	NEW YORK	No
9	163WC0400X	Registered Nurse	Case Management	542792-1	NEW YORK	No
10	163WG0600X	Registered Nurse	Gerontology	542792-1	NEW YORK	No

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	01681263	OTHER	NEW YORK	MEDICAID PRIVATE PROVIDER

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: 4/28/2024

NPI Synchronization or Removal

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