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

Dorothy E Gozdziak

Individual provider Registered Nurse · NPI 1245830082

Dorothy E Gozdziak is a Certified Registered Nurse Anesthetist (CRNA) in Stony Brook, New York. Qualified in 2018, 8 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-1202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 677403-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 677403-1 (NY)

Record details

NPI number1245830082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 30, 2020
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing addressPo Box 5072, Hauppauge, NY 11788-0608

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stony Brook