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

Dr. Grace Lee Ker, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295025310

Dr. Grace Lee Ker, MD is a Pediatric Medicine in Stony Brook, New York. Graduated from Wayne State University School of Medicine in 2015, 11 years ago. Practices with Stony Brook Children's Service, University Faculty Practice Corporatio, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
Wayne State University School of Medicine
Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicolls Rd # LEVEL11N
Stony Brook, NY 11794-0001
Phone: (631) 444-0650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Wilbraham Rd, Springfield, MA 01109-3161 — (413) 794-0000

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 280790 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295025310
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 11, 2011
Last updated in NPPESNovember 8, 2019

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Stony Brook Children'S Service, University Faculty Practice Corporatio — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook