Individual provider Active NPI

Andrea Stiga

  • Specialist
  • Rockaway Point, NY
National Provider Identifier
1053675306
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
20417 Marshall Ave
Rockaway Point, NY 11697-1106
Phone
(917) 405-9176
Fax
(718) 474-6914
NPI assigned
Jul 2, 2012
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary
Case Manager/Care Coordinator 171M00000X NY

Addresses

Primary practice location

20417 Marshall Ave
Rockaway Point, NY 11697-1106

Mailing address

20417 Marshall Ave
Rockaway Point, NY 11697-1106
Phone (917) 405-9176

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1053675306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20417 MARSHALL AVE",
            "city": "ROCKAWAY POINT",
            "state": "NY",
            "postal_code": "116971106",
            "telephone_number": "917-405-9176",
            "fax_number": "718-474-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20417 MARSHALL AVE",
            "city": "ROCKAWAY POINT",
            "state": "NY",
            "postal_code": "116971106",
            "telephone_number": "917-405-9176",
            "fax_number": "718-474-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIGA",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.