JONATHAN MICHAEL BUSCAGLIA (NPI# 1124078589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124078589 |
| Entity Type | Individual |
| Full Name | JONATHAN MICHAEL BUSCAGLIA |
| Credential | MD |
| Practice Address |
3 Technology Drive Stony Brook University Physicians East Setauket NY 11733 |
| Practice Telephone | 6314445220 |
| Practice Fax Number | 6314445225 |
| Mailing Telephone | 6314445220 |
| Mailing Fax Number | 6314445225 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D0063684 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D63684 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 409447600 | 05 |
| Street Address |
3 TECHNOLOGY DRIVE STONY BROOK UNIVERSITY PHYSICIANS |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851417786 | Kimberly Ann Riegel | Nurse Practitioner | 3 Technology Drive, East Setauket, NY 11733-4064 | 2007-03-22 |
| 1851326706 | Douglas L Brand | Internal Medicine | 3 Technology Drive, East Setauket, NY 11733 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205892205 | Robert John Baranowski | Internal Medicine | 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327 | 2006-04-26 |
| 1306133988 | Eduardo Javier Quintero Nazario | Internal Medicine | 3 Technology Dr, East Setauket, NY 11733-4064 | 2011-07-05 |
| 1801195565 | Tyson Herzog Collazo | Internal Medicine | 3 Technology Dr, East Setauket, NY 11733-4064 | 2011-03-21 |
| 1447575667 | Farah Monzur | Internal Medicine | 3 Technology Dr, East Setauket, NY 11733-4064 | 2010-03-30 |
| 1740423755 | Eugene Licht | Internal Medicine | 3400 Nesconset Hwy Ste 101, East Setauket, NY 11733-3327 | 2009-04-07 |
| 1396981197 | Alexandra Guillaume | Internal Medicine | 3 Technology Dr, East Setauket, NY 11733-4064 | 2008-12-29 |
| 1679733182 | Lionel S. D'souza | Internal Medicine | 3 Technology Dr, East Setauket, NY 11733-4064 | 2008-06-10 |
| 1881765014 | Emily Glazer | Internal Medicine | 3400 Nesconset Hwy, Ste 101, East Setauket, NY 11733-3327 | 2006-11-10 |
| 1164593414 | Long Island Digestive Disease Consultants, PC | Internal Medicine | 3400 Nesconset Hwy, Ste 101, East Setauket, NY 11733-3327 | 2006-11-10 |
| 1376655043 | Asim S Khokhar | Internal Medicine | 3 Technology Dr, East Setauket, NY 11733-4064 | 2006-08-31 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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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.