Mr. Jaymie E Oentoro, MD
Pathology, Anatomic Pathology & Clinical Pathology in Stony Brook, New York
1588293682- Practice location
- 101 Nicolis Road, Stony Brook University Hospital, Department Of Patholog, Stony Brook, NY 11794-7025
- Phone
- 631-444-2224
- Fax
- —
- Last updated
- June 12, 2026
Jaymie Eureko Oentoro is a Pathology, Anatomic Pathology & Clinical Pathology based in Stony Brook, NY. Jaymie Eureko Oentoro practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Jaymie Eureko Oentoro is 1588293682 and holds a License No. 39415 (NH). The current practice location address for Jaymie Eureko Oentoro is 101 Nicolis Road, Stony Brook University Hospital, Department Of Patholog, Stony Brook, NY 11794-7025 and can be reached out via phone at 631-444-2224.
Provider Profile Details
- NPI Number
- 1588293682
- Provider Name
- Jaymie Eureko Oentoro
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 101 Nicolis Road, Stony Brook University Hospital, Department Of Patholog, Stony Brook, NY 11794-7025
- Phone Number
- 631-444-2224
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2020
- Last Update Date
- June 12, 2026
- Certification Date
- June 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Nicolis Road
Stony Brook University Hospital, Department Of Patholog
Stony Brook, NY 11794-7025 - City
- Stony Brook
- State
- New York
- Zip
- 11794-7025
- Phone Number
- 631-444-2224
Provider Business Mailing Address Details
- Address
- 101 Nicolis Road
Stony Brook University Hospital, Department Of Patholog
Stony Brook, NY 11794-7025 - City
- Stony Brook
- State
- NY
- Zip
- 11794-7025
- Phone Number
- 631-444-2224
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 39415
- License State (2)
- NH
- Taxonomy (2)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jaymie E Oentoro, MD?
The NPI number of Mr. Jaymie E Oentoro, MD is 1588293682. It was assigned on April 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Jaymie E Oentoro, MD?
Mr. Jaymie E Oentoro, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NH under license number 39415.
Where does Mr. Jaymie E Oentoro, MD practice?
The practice location is 101 Nicolis Road, Stony Brook University Hospital, Department Of Patholog, Stony Brook, NY 11794-7025. The office can be reached at 631-444-2224 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588293682 directly on the NPPES registry website.