DR. CEDRIC PRIEBE (NPI# 1609895507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609895507 |
| Entity Type | Individual |
| Full Name | DR. CEDRIC PRIEBE |
| Credential | M.D. |
| Practice Address |
37 Research Way East Setauket NY 11733 |
| Mailing Address |
P.o. Box 1559 Stony Brook NY 11790 |
| Practice Telephone | 6314444545 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
080836 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00115802 | 05 | |
| NY | AETNA | 4575157 | 01 |
| NY | EMPIRE BC.BS | 901781 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174556336 | Cedric Priebe IIi | Pediatrics | 75 Francis St, Boston, MA 02115-6110 | 2006-07-09 |
| Street Address |
37 RESEARCH WAY |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584102 | Joseph Gartner | Psychiatry & Neurology | 37 Research Way, East Setauket, NY 11733-3465 | 2006-06-10 |
| 1144861345 | Kimberly Villafane | Respiratory Therapist, Registered | 37 Research Way, East Setauket, NY 11733-3465 | 2019-09-30 |
| 1457845083 | Charlene Fox | Dietitian, Registered | 37 Research Way, East Setauket, NY 11733-3465 | 2018-06-18 |
| 1629476346 | Amy Canterella | Nutritionist | 37 Research Way, East Setauket, NY 11733-3465 | 2014-12-11 |
| 1487091328 | Keith Alan Chadwick | Otolaryngology | 37 Research Way, East Setauket, NY 11733-3465 | 2013-06-02 |
| 1932445509 | Kathryn Brigitte Fassnacht | Nurse Practitioner | 37 Research Way, East Setauket, NY 11733-3465 | 2012-12-29 |
| 1093069387 | Kathryn Elizabeth Cottell | Dietitian, Registered | 37 Research Way, East Setauket, NY 11733-3465 | 2012-11-08 |
| 1124373576 | Darragh Ann Herlihy | Nurse Practitioner | 37 Research Way, East Setauket, NY 11733-3465 | 2012-07-20 |
| 1588972863 | Farzana Nuruzzaman | Pediatrics | 37 Research Way, East Setauket, NY 11733-9202 | 2010-09-20 |
| 1518270610 | Denise M. Ferraro | Nurse Practitioner | 37 Research Way, Suite 2, East Setauket, NY 11733 | 2010-07-17 |
| Find all providers in the same location | ||||
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871512780 | Thomas Lee | Surgery | 37 Research Way, East Setauket, NY 11733 | 2006-07-19 |
| 1013936301 | Richard Scriven | Surgery | 37 Research Way, East Setauket, NY 11733 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154243 | Andrea Volpe | Surgery | 504 E 63rd St Apt 17n, New York, NY 10065-7920 | 2019-09-26 |
| 1225388416 | Lucas Krauel | Surgery | 404 E 66th St Apt 1e, New York, NY 10065-9309 | 2012-09-14 |
| 1780983460 | Jun Tashiro | Surgery | 530 1st Ave Ste 10w, New York, NY 10016-6402 | 2011-03-21 |
| 1497914675 | Brian Arrinza Coakley | Surgery | 5 East 98th Street Box 1259, Department of Surgery Mount Sinai School of Medicine, New York, NY 10029 | 2008-06-03 |
| 1164691457 | Oliver Hans-josef Hans-josef Muensterer | Surgery | Mfch, Munger Pavillion, Room 321, Valhalla, NY 10595 | 2008-02-21 |
| 1942355698 | Stephen Dolgin | Surgery | Lij Dept of Surgery Pediatric Surgery, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2007-01-24 |
| 1093875114 | Samuel Soffer | Surgery | Lijmc Dept of Surgery Peds Surgery, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1023182649 | Radhakrishman Satheesan | Surgery | 921 49th St, Brooklyn, NY 11219-2923 | 2006-11-17 |
| 1922178375 | Richard Glick | Surgery | Schneider Children Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1134201304 | Scott J Boley | Surgery | Div. of Pediatric Surgery, 3355 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
Please comment or provide details below to improve the information on DR. CEDRIC PRIEBE.
| 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.