JAY EVANS HARRIS (NPI# 1295991503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295991503 |
| Entity Type | Individual |
| Full Name | JAY EVANS HARRIS |
| Credential | MD |
| Practice Address |
Stadium Rd Student Health Service Stony Brook NY 11794-0001 |
| Mailing Address |
108 Marlborough Rd Highland Park NJ 08904-3532 |
| Practice Telephone | 6316326720 |
| Mailing Telephone | 6313352801 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 093440 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548485337 | Jay Allen Harris | Dentist | 2570 Brookstone Centre Pkwy Ste 200, Columbus, GA 31904 | 2007-04-16 |
| 1851438709 | Jay M. Harris | Dentist | 3815 Washington Pkwy, Idaho Falls, ID 83404-7591 | 2007-01-31 |
| 1174673800 | Jay Jason Harris | Dentist | 220 Christiana Medical Center, Newark, DE 19702-1652 | 2007-01-12 |
| 1104877646 | Jay Harris | Radiology | 44 Binney Street Dana 1622, Dana Farber Cancer Institute Department of Radiation On, Boston, MA 02115 | 2006-05-12 |
| 1538717251 | Jay Christopher Harris | General Practice | 1545 Forest Cove Dr, Chesapeake, VA 23323-5734 | 2019-08-27 |
| 1407160286 | Jay Edward Harris | Registered Nurse | 1058 Ne 12th St, Bend, OR 97701-4412 | 2010-08-03 |
| Street Address |
STADIUM RD STUDENT HEALTH SERVICE |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407914518 | Anne Virginia Peterson | Psychologist | Stadium Rd, 235 Counseling Ctr, Stony Brook, NY 11794-3100 | 2006-12-04 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734351 | Kaitlyn Scharrenbroich | Specialist | 5 Salem Dr, Stony Brook, NY 11790-1311 | 2019-01-27 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1447619093 | Michelle D'angelo | Specialist | 30 College Dr, Stony Brook, NY 11790-2724 | 2016-02-10 |
| 1720467681 | Pain Management of Stony Brook P.C. | Specialist | 2500 Nesconset Hwy Bldg 24c, Stony Brook, NY 11790-2598 | 2015-05-26 |
| 1669872834 | Jami Hickey | Specialist | 11 Cedar St, Stony Brook, NY 11790-1700 | 2014-08-25 |
| 1154730141 | Elizabeth Zanolli | Specialist | Indoor Sports Complex Stony Brook University, Stony Brook, NY 11794-3500 | 2014-08-05 |
| 1760806772 | Evelyn Haegele | Specialist | 1 Hawks Nest Rd, Stony Brook, NY 11790-1103 | 2014-02-11 |
| 1457699316 | Melissa Horn | Specialist | 20 Magnet St, Stony Brook, NY 11790-2845 | 2013-01-27 |
| 1952648693 | Annemarie Neary | Specialist | 18 Marwood Pl, Stony Brook, NY 11790-2906 | 2013-01-15 |
| 1245574839 | Nguyen Plastic Surgery PC | Specialist | 2500 Nesconset Hwy Bldg 4d, Stony Brook, NY 11790-2551 | 2012-11-20 |
| Find all providers in STONY BROOK | ||||
| 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.