Active NPI
Stephanie Butschek, PA-C
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1023585023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 022643
- Practice address
- 2076 E 13TH St
Brooklyn, NY 11229-3304 - Phone
- (877) 208-2882
- NPI assigned
- Oct 28, 2018
- Last updated
- Oct 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022643 | NY | Primary |
Addresses
Primary practice location
2076 E 13TH St
Brooklyn, NY 11229-3304
Mailing address
426 W 48TH St Apt 4RW
New York, NY 10036-1224
Phone (361) 772-5776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022643 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540684800000",
"number": "1023585023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 W 48TH ST APT 4RW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100361224",
"telephone_number": "361-772-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2076 E 13TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293304",
"telephone_number": "877-208-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTSCHEK",
"first_name": "STEPHANIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-28",
"last_updated": "2018-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "022643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.