DR. ANDRZEJ KUDELKA (NPI# 1003910209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003910209 |
| Entity Type | Individual |
| Full Name | DR. ANDRZEJ KUDELKA |
| Credential | M.D. |
| Practice Address |
3 Pellegrino Rd Z8151 Stony Brook NY 11794-8151 |
| Practice Telephone | 6316380910 |
| Practice Fax Number | 6316380195 |
| Mailing Telephone | 6316380910 |
| Mailing Fax Number | 6316380195 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2013-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
240693 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 240693 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3 PELLEGRINO RD Z8151 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235233636 | Shenhong Wu | Internal Medicine | University Hospital L5 Suite 1, Stony Brook, NY 11794 | 2006-09-07 |
| 1508023300 | Amna Falak Sher | Internal Medicine | Hsc T15 040, Stony Brook, NY 11794-8151 | 2008-05-20 |
| 1043230725 | Stefan Madajewicz | Internal Medicine | University Hospital, L5, Stony Brook, NY 11794 | 2006-07-19 |
| 1184679342 | Stony Brook Internists, University Faculty Practice Corporation | Internal Medicine | Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794-0001 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112427 | Health Quest Medical Practice, PC | Internal Medicine | 6511 Spring Brook Ave Ste 1006, Rhinebeck, NY 12572-3709 | 2020-04-05 |
| 1306474226 | Health Quest Medical Practice, PC | Internal Medicine | 1240 Ulster Ave-medical Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1033534268 | Montefiore New Rochelle Hospital | Internal Medicine | 26 Washington Avenue, New Rochelle, NY 10801 | 2014-02-25 |
| 1710327721 | Jarushka Naidoo | Internal Medicine | 475 Main St Apt 2l, Roosevelt Island, New York, NY 10044-0084 | 2013-07-05 |
| 1457617771 | Wungki Park | Internal Medicine | 300 E 66th St Ofc 10065, New York, NY 10065-6800 | 2012-04-11 |
| 1538449392 | Mahendra Manilal Shah | Internal Medicine | 59 Donald Dr, Hastings On Hudson, NY 10706-3623 | 2011-08-25 |
| 1659609931 | Alexei Morozov | Internal Medicine | 1275 York Ave # 8, New York, NY 10065-6007 | 2009-11-25 |
| 1548496326 | Maria J Nieto | Internal Medicine | 1 Gustave L Levy Pl # 1410, New York, NY 10029-6500 | 2009-06-07 |
| 1538307665 | Jerome William Yates | Internal Medicine | 240 Independence Dr, Orchard Park, NY 14127-3430 | 2009-01-28 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.