Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Lynne Rosenbluth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194143180

Amy Lynne Rosenbluth is a General Surgery in Stony Brook, New York. Qualified in 2014, 12 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
12
Licensed in
NY, TX
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 10th Ave, New York, NY 10019-1147 — (212) 523-7780
  • 5323 Harry Hines Blvd Mail Code 9159, Dallas, TX 75390-0001 — (214) 648-7548

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 306288-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence S1250 (TX)

Record details

NPI number1194143180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook