Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457659062 Individual Practitioner Male Practitioner

Dr. Charles Gian Dipierro , MD, MS, PhD, MPH

General Practice • Stony Brook, NY

Professional Overview & Biography Verified Profile Summary

Dr. Charles Dipierro, MD, MS, PhD, MPH is a registered healthcare professional specializing in General Practice in Stony Brook, NY. Practice services are available at 100 NICOLLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Nicolls Rd
Suny Stony Brook, Dept. Of Preventive Medicine, Hsc L3

Stony Brook, NY 117940001

Telephone 6314443902
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Stony Brook, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Stony Brook, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 264574

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License VA 0101052873

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License NJ 25MA07921600

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NUCC Taxonomy Code: 2083P0500X

State License NY 264574

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NUCC Taxonomy Code: 2083P0500X

State License VA 0101052873

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NUCC Taxonomy Code: 2083P0500X

State License NJ 25MA07921600

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Stephen Ragan , MD

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1548416795

Doctor of Medicine (M.D.)

NPI 1609197995

Doctor of Medicine (M.D.)

Dr. Sopan Mohnot , MD

Preventive Medicine - Public Health & General Preventive Medicine

NPI 1669905782

Doctor of Medicine (M.D.)

Dr. Suleka Neelagaru , MD

Student in an Organized Health Care Education/Training Program

NPI 1972762136

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2014

Registered at 100 NICOLLS RD, SUNY STONY BROOK, DEPT. OF PREVENTIVE MEDICINE, HSC L3, STONY BROOK, NY 117940001 (Tel: 6314443902)

📍
Updated Business Mailing Address August 28, 2014

Registered at PO BOX 1559, SUNY STONY BROOK, DEPT. OF PREVENTIVE MEDICINE, STONY BROOK, NY 117900989

👤
Provider Name / Credentials Updated August 28, 2014

Recorded as CHARLES DIPIERRO, MD, MS, PHD, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2014

Preventive Medicine (License #25MA07921600 in NJ)

🟢
Initial NPI Registration & Enumeration March 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457659062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2011
Last Update: August 28, 2014
Sole Proprietor: No

Mailing Address

Po Box 1559, Suny Stony Brook, Dept. Of Preventive Medicine

Stony Brook, NY 117900989

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.