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Contact Information

MICHAEL K MASSERIA, CRNA
STONY BROOK UNIVERSITY MEDICAL CENTER
HSC LEVEL 4 - ROOM 060
STONY BROOK, NY11794-8480
 Phone: 631-444-2975
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHAEL K MASSERIA · (Male)

NPI # 1811454051
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 02/25/2019
Last updated 03/12/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 431879
  • NY License # 686773
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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