JORDAN BARRY SLUTSKY


Address: Stony Brook University Hospital, Medical Staff Office, Stony Brook, NY 11794-7148
Phone: 6314442754

JORDAN BARRY SLUTSKY (NPI# 1336309848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336309848
Entity Type Individual
Full Name JORDAN BARRY SLUTSKY
Credential MD
Practice Address Stony Brook University Hospital
Medical Staff Office
Stony Brook
NY 11794-7148
Practice Telephone 6314442754
Practice Fax Number 6314446031
Mailing Telephone 6314442754
Mailing Fax Number 6314446031
Enumeration Date 2008-06-10
Last Update Date 2013-05-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery 		268804-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address STONY BROOK UNIVERSITY HOSPITAL
MEDICAL STAFF OFFICE
City STONY BROOK
State NY
Zip Code 11794-7148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144273228 David Talbot Lawrence Emergency Medicine Stony Brook University Hospital, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 2006-05-18
1518592120 Marina Aknouk Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 2020-03-04
1821629247 Daniel Robert Fitzgerald Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 2020-02-04
1578121463 Mary Elizabeth Paciella Registered Nurse Stony Brook University Hospital, 101 Nichols Road Sbuh 8s Room 142, Stony Brook, NY 11794-7080 2019-06-05
1720547227 Gabrielle Bekov Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Department of Hospital Dentistry- 151 Westchester Hall, Stony Brook, NY 11794-8711 2019-03-14
1407350614 Ewa Zabrocka Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Level 2, Stony Brook, NY 11794 2018-03-21
1366975443 Vivian Asakoma Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Department of Pediatrics Hsc T-11/040, Stony Brook, NY 11794-8111 2017-04-06
1518490945 Hannah Marie Thompson Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 2017-04-03
1427581859 Khai Hoai Anh Gustav Diep Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 2017-04-03
1942732441 Yueting Yang Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Hsc T-11 / 040, Stony Brook, NY 11794-8111 2017-04-03
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790951069 Advanced Dermatology PC Dermatology 2500 Nesconset Hwy, Bldg 10, Stony Brook, NY 11790-2555 2008-05-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598225260 Dermatology Laser and Surgery of Carnegie Hill Pllc Dermatology 1095 Park Ave Ste 1a, New York, NY 10128-1154 2019-03-20
1245651827 Complete Skin & Laser Surgery PC Dermatology 225 E 64th St Fl 2, New York, NY 10065-6690 2013-12-26
1598043432 Marmur Dermatology and Cardiology, Pllc Dermatology 12 E 87th St Suite 1a, New York, NY 10128-0501 2011-07-26
1427343391 Skin Cancer and Aesthetic Surgery, P.C. Dermatology 2727 Ocean Pkwy, Suite L1, Brooklyn, NY 11235-7857 2011-06-18
1174814735 Reason Wilken Dermatology 1991 Marcus Ave Ste 300, North New Hyde Park, NY 11042-2058 2011-04-29
1760658033 Advanced Dermatology PC Dermatology 165 Roslyn Rd, Roslyn Heights, NY 11577-1315 2008-05-06
1255535993 Weill Medical College of Cornell University Dermatology 1305 York Ave., 9th Floor, New York, NY 10021-4870 2007-06-14
1336291657 Michael Jonathan Albom Dermatology 33 E 70th St, 1f, New York, NY 10021-4941 2007-01-17
1386719425 Ronald R Brancaccio Md & Peter Saitta Do PC Dermatology 7901 4th Avenue, Apt A20, Brooklyn, NY 11209-3957 2006-11-22
1255415113 The Center for Dermatologic Surgery of Monroe Dermatology 503 State Route 208, Monroe, NY 10950-1619 2006-10-25
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Competitor

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City STONY BROOK
Zip Code 11794

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Dataset Information

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.

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