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

Mr. Jaymie Eureko Oentoro, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588293682

Mr. Jaymie Eureko Oentoro, MD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Works from 3 locations. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

101 Nicolis Road Stony Brook University Hospital Dept OF Patholog
Stony Brook, NY 11794-7025
Phone: (631) 444-2224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 580 Court St, Keene, NH 03431-1729 — (603) 354-5400
  • 1 Medical Center Dr, Lebanon, NH 03756-0001 — (603) 650-7232

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 39415 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588293682
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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