Active NPI
Christina Stasiuk, D.O.
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1033542527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS006477E
- Practice address
- 1601 Chestnut St
2 Liberty Place Tl08F
Philadelphia, PA 19192-0003 - Phone
- (215) 761-7168
- NPI assigned
- Aug 20, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS006477E | PA | Primary |
Addresses
Primary practice location
1601 Chestnut St
2 Liberty Place Tl08F
Philadelphia, PA 19192-0003
Mailing address
753 N 26TH St
Philadelphia, PA 19130-2429
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS006477E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1033542527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 N 26TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CHESTNUT ST",
"address_2": "2 LIBERTY PLACE TL08F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191920003",
"telephone_number": "215-761-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASIUK",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS006477E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.