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

Christopher Taiwo

Individual provider Physician Assistant · NPI 1285039636

Christopher Taiwo is a Physician Assistant in Stony Brook, New York. Qualified in 2014, 12 years ago. Practices with Small Hospital Innovations LLC, a 80-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
12
Licensed in
NJ, NY
In the registry since
2014
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook Medicine Dept OF Emergency Medicine Hsc Level 4 Rm 080
Stony Brook, NY 11794-8350
Phone: (631) 444-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00847500 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 018159 (NY)

Record details

NPI number1285039636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 28, 2014
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing addressPo Box 1554, Stony Brook, NY 11794-8350

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Small Hospital Innovations Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook