DR. JONATHAN GLENN GUTERMAN (NPI# 1720285349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720285349 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN GLENN GUTERMAN |
| Credential | M.D. |
| Practice Address |
Suny Stony Brk T12-020 Health Sciences Center Stony Brook NY 11794-8121 |
| Mailing Address |
405 19th St S Brigantine NJ 08203-2027 |
| Practice Telephone | 6314442599 |
| Mailing Telephone | 9179028169 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
266135 | NY | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
25 MA 09394700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
SUNY STONY BRK T12-020 HEALTH SCIENCES CENTER |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669469 | Timothy Young Chou | Ophthalmology | Suny Stony Brk, Hsc L2, Room 152, Stony Brook, NY 11794-0001 | 2005-06-16 |
| 1922441039 | Jacob Cho | Student in an Organized Health Care Education/Training Program | Suny Stony Brk, Hsc Level 16, 020, Stony Brook, NY 11794-8160 | 2013-04-09 |
| 1386987808 | Joseph T Leeds | Student in an Organized Health Care Education/Training Program | Suny Stony Brk, Department of Medicine, Hsc Level 16, 020, Stony Brook, NY 11794-8160 | 2013-04-03 |
| 1578869897 | Jacqueline Skarre | Nurse Practitioner | Suny Stony Brk, Health Sciences Center T17-040, Stony Brook, NY 11794-8172 | 2011-02-03 |
| 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 | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871555797 | Elizabeth J Wirkowski | Psychiatry & Neurology | New York Spine & Brain Surgery Hsc T12 Rm 080, Stony Brook, NY 11794-4235 | 2006-04-05 |
| 1033505102 | Kamil Stefanowski | Psychiatry & Neurology | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2015-04-15 |
| 1649404690 | Benny Sung Kim | Psychiatry & Neurology | Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794-0001 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861812083 | Weijun Jin | Psychiatry & Neurology | 948 48th St # R-232, Brooklyn, NY 11219-2918 | 2014-04-28 |
| 1174899504 | Amit Kandel | Psychiatry & Neurology | 100 High St # E2, Department of Neurology, Buffalo, NY 14203-1126 | 2012-03-29 |
| 1194036996 | Mackenzie Paige Lerario | Psychiatry & Neurology | 525 East 68th Street, F-610, New York, NY 10065 | 2010-06-25 |
| 1518133750 | Sarah Mintu Cherian | Psychiatry & Neurology | 200 Old Country Rd Ste 370, Mineola, NY 11501-4264 | 2008-05-07 |
| 1225233141 | David T Parrella | Psychiatry & Neurology | 211 61 Street, 1st Floor, Brooklyn, NY 11220 | 2007-06-20 |
| 1760549075 | Antenor Pierre Vilceus | Psychiatry & Neurology | 550 W Merrick Rd Ste 4, Valley Stream, NY 11580-5101 | 2007-01-03 |
| 1659437473 | Steven Henry Rudolph | Psychiatry & Neurology | 3131 Kings Hwy Ste 2-06, Brooklyn, NY 11234-2644 | 2006-12-28 |
| 1003295163 | Alison Caruana | Psychiatry & Neurology | 181 Bellemeade Rd, East Setauket, NY 11733-3495 | 2015-05-22 |
| 1073908802 | Jennifer Harris | Psychiatry & Neurology | 710 W 168th St, New York, NY 10032-3726 | 2015-03-30 |
| 1811386808 | Sanskriti Mishra | Psychiatry & Neurology | 948 48th St, Maimonides Medical Center, Brooklyn, NY 11219-2918 | 2015-01-14 |
| 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.