Active NPI
Stephanie Lynne Tutak, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1033614953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 310881
- Practice address
- 8 E 3Rd St
New York, NY 10003-8908 - Phone
- (212) 533-8400
- NPI assigned
- Mar 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 310881 | NY | Primary |
Addresses
Primary practice location
8 E 3Rd St
New York, NY 10003-8908
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
315 W 50th St
New York, NY 10019-6811
Phone (212) 582-5006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 E 3Rd St
New York, NY 10003-8908
Phone (212) 533-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Renewal Inc | Current | Accepting new patients | |
| Project Renewal Inc | Current | Accepting new patients |
Locations
200 Varick St
New York, NY 10014
Phone (212) 620-0340
200 Varick St
Fl 9
New York, NY 10014
Phone (212) 620-0340
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- stephanie.tutak@pri1.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1598770018
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1821740275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1033614953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 E 3RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100038908",
"telephone_number": "212-533-8400"
}
],
"practiceLocations": [
{
"address_1": "315 W 50th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100196811",
"country_code": "US",
"telephone_number": "212-582-5006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTAK",
"first_name": "STEPHANIE",
"middle_name": "LYNNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-25",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "310881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.