MICHELLE TOBIN (NPI# 1396049847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396049847 |
| Entity Type | Individual |
| Full Name | MICHELLE TOBIN |
| Credential | M.D. |
| Practice Address |
4 Technology Drive East Setauket NY 11733 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314444601 |
| Practice Fax Number | 6314444990 |
| Mailing Telephone | 6314440650 |
| Enumeration Date | 2010-12-26 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 260682 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
260682 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1538657432 | Michelle Tobin | Anesthesiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-04-25 |
| 1316490253 | Michelle Tobin | Student in an Organized Health Care Education/Training Program | 4807 196th St Sw, Ste 220, Lynnwood, WA 98036-6430 | 2016-07-27 |
| 1619178498 | Michelle Tobin | Acupuncturist | 101 West Coast Rd, Redway, CA 95560-0769 | 2007-05-30 |
| Street Address |
4 TECHNOLOGY DRIVE |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261076 | Zeenat A Hussain | Internal Medicine | 4 Technology Drive, Suite-130, East Setauket, NY 11733 | 2005-08-09 |
| 1023574589 | Riverhead Surgery, PC | Surgery | 4 Technology Drive, Suite 220, East Setauket, NY 11733-4085 | 2019-02-20 |
| 1740600071 | Belle Meade Medical, PC | Surgery | 4 Technology Drive, Suite 220, East Setauket, NY 11733-4085 | 2014-04-25 |
| 1497086235 | Island Nephrology PC | Internal Medicine | 4 Technology Drive, Suite-130, East Setauket, NY 11733 | 2010-01-19 |
| 1225130511 | Lisa M. Rimpel | Obstetrics & Gynecology | 4 Technology Drive, Suite 200, East Setauket, NY 11794-9254 | 2006-09-05 |
| 1942212774 | Ashfaq Swapan Hussain | Internal Medicine | 4 Technology Drive, Suite-130, East Setauket, NY 11733 | 2006-08-12 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| 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 |
|---|---|---|---|---|
| 1346710977 | Ari J Bergwerk | Pediatrics | Apt #4b 305 Riverside Drive, New York, NY 10025 | 2018-11-27 |
| 1306227525 | Karine Amirikian | Pediatrics | 3415 Bainbridge Ave Fl 7, Bronx, NY 10467 | 2015-06-12 |
| 1407198120 | Elizabeth Anne Nofi Berg | Pediatrics | 622 W 168th St Ph 17, New York, NY 10032-3720 | 2013-03-20 |
| 1316289093 | Anastasia Rigas | Pediatrics | 18 Blueberry Ridge Rd, Setauket, NY 11733-1504 | 2013-03-20 |
| 1366700874 | Dominique Drummond Bailey | Pediatrics | 630 W. 168th Street - Chn 517, Columbia University Medical Center, New York, NY 10032 | 2012-05-03 |
| 1235404559 | Judy Rose Dayan | Pediatrics | 990 E 22nd St, Brooklyn, NY 11210-3610 | 2012-03-20 |
| 1922386994 | Aamer Imdad | Pediatrics | 725 Irving Ave Suite 504, Syracuse, NY 13210 | 2011-07-25 |
| 1982908786 | Eileen Mcvey | Pediatrics | 503 Grasslands Rd Ste 201, Valhalla, NY 10595-1593 | 2011-01-07 |
| 1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
| 1457546582 | Babu S Bangaru | Pediatrics | 9422 59th Ave, Elmhurst, NY 11373-5151 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
| 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.