OrganizationActive
Mary Immaculate Hospital
NPI 1245364223 · Critical Access Hospital · Stony Brook, NY
Mary Immaculate Hospital is a Critical Access Hospital organization in Stony Brook, NY (NPI 1245364223).
Provider details
- NPI number
- 1245364223
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Usha Ruder, Chair, Pathology Department(715) 558-2714
- License
- 115646 (NY)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 Night Heron Dr
Stony Brook, NY 11790-1108
Phone: (631) 689-5654
Fax: (718) 558-2166
Street-level locationGet directions
Mailing address
152-11 89th Ave.
Jamaica, NY 11432-1108
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mary Immaculate Hospital's NPI number?
- Mary Immaculate Hospital's National Provider Identifier (NPI) is 1245364223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Immaculate Hospital?
- Mary Immaculate Hospital is classified in the NPPES registry as Critical Access Hospital (Hospitals).
- Where is Mary Immaculate Hospital located?
- Mary Immaculate Hospital's practice location on file with NPPES is 24 Night Heron Dr, Stony Brook, NY 11790-1108.
- What is Mary Immaculate Hospital's phone number?
- The practice phone number listed in the NPPES registry for Mary Immaculate Hospital is (631) 689-5654.
- Who is the authorized official for Mary Immaculate Hospital?
- The authorized official listed on Mary Immaculate Hospital's NPPES record is Usha Ruder, Chair, Pathology Department. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Immaculate Hospital's NPI active?
- Yes — Mary Immaculate Hospital's NPI (1245364223) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.