DR. MINA EKLADIOS (NPI# 1205281409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205281409 |
| Entity Type | Individual |
| Full Name | DR. MINA EKLADIOS |
| Credential | M.D., M.S. |
| Practice Address |
101 Nicolls Rd Hsc T-11, Room 040 Stony Brook NY 11794-0001 |
| Mailing Address |
925 N Jackson St Arlington VA 22201-2232 |
| Practice Telephone | 6314442020 |
| Mailing Telephone | 9548154721 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
299922 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
101 NICOLLS RD HSC T-11, ROOM 040 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511760 | Monika Isabela Woroniecka | Allergy & Immunology | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2005-10-08 |
| 1245830082 | Dorothy E Gozdziak | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-10-30 |
| 1366041907 | Christine Morgan | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-10-24 |
| 1235736240 | Glenn Phillip Schiotis Jr. | Pharmacist | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-10-02 |
| 1508470477 | Tomas Liboreiro | Nurse Practitioner | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-09-08 |
| 1881211266 | Valerie Marie Birmingham | Nurse Anesthetist, Certified Registered | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-07-01 |
| 1841816303 | Richard S Menjivar | General Acute Care Hospital | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-06-22 |
| 1801419528 | Jamie Rachel Moore | Registered Nurse | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-05-28 |
| 1871114108 | Samantha Dunn | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-04-28 |
| 1750901294 | Samantha Ann Morganelli | Student in an Organized Health Care Education/Training Program | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-04-24 |
| Find all providers in the same location | ||||
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922369479 | Prina Patel | Pediatrics | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2012-05-31 |
| 1912264060 | Caitlin Feeks | Pediatrics | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2012-04-13 |
| 1417124264 | Richard L Bruckner | Pediatrics | 100 Nicolls Rd, Level 4, Stony Brook, NY 11794-8111 | 2008-05-12 |
| 1588708887 | Devin Grossman | Pediatrics | Stony Brook University Medical Ctr, Level 4 - Pediatric Emergency Department, Stony Brook, NY 11794-0001 | 2007-02-19 |
| 1447332689 | Sergey Kunkov | Pediatrics | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720496607 | Anthony Sheung Lai Yuen | Pediatrics | 525 E 68th St # 179, New York, NY 10065-4870 | 2014-07-24 |
| 1962817296 | Marina Rubin | Pediatrics | 475 Seaview Ave Dept Att, Staten Island, NY 10305-3436 | 2014-06-25 |
| 1487065462 | Munaza Batool Rizvi | Pediatrics | 450 Clarkson Avenue Box 59, Suny Downstate Medical Centre, Brooklyn, NY 11203 | 2014-05-13 |
| 1770844334 | Mark Oliver Tessaro | Pediatrics | 206 Front St, Apt 6b, Brooklyn, NY 11201-1214 | 2012-05-30 |
| 1548528482 | Dana Suozzo | Pediatrics | 2719 44th Dr Apt 16e, Long Island City, NY 11101-3052 | 2012-04-29 |
| 1629390315 | Inna Elikashvili | Pediatrics | 462 1st Ave Ste A345, New York, NY 10016-9196 | 2010-02-22 |
| 1164752788 | Monica Shekher-kapoor | Pediatrics | 36 North Dr, Great Neck, NY 11021-1332 | 2010-01-04 |
| 1073741377 | Selin Tuysuzoglu Sagalowsky | Pediatrics | 3959 Broadway # Chn-1116, New York, NY 10032-1559 | 2009-06-24 |
| 1053546242 | Heather Elizabeth Giambo | Pediatrics | 16th St and First Ave, Emergency Medicine, New York, NY 10009 | 2009-05-18 |
| 1184864738 | Anita K Pillai | Pediatrics | 220 North St, New Hyde Park, NY 11040-2332 | 2009-02-23 |
| 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.