Stanley Mielnicki, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD038202E Issued in PA

Practice address

5221 Milford Rd
East Stroudsburg, PA 18302-9149

Phone

(570) 588-6197

NPI assigned

Nov 1, 2006

Last updated

May 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sibbering and Mielnicki, Assoc.,PC

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1073687703
  Authorized official Same address or phone
• Best Building and Embracing Sobriety Together Inc

  • Addiction (Substance Use Disorder) Counselor
  • Stroudsburg, PA
  • NPI 1740612902
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1093892192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODSTOCK DR",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "18353",
            "telephone_number": "570-588-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 MILFORD RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183029149",
            "telephone_number": "570-588-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELNICKI",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD038202E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016678300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Mertis, MPT
• Georgann Metropoulos, LCSW
• Christine Meyer, NP
• Stephanie Michael, PA-C
• Michelle N Mieles
• Mighty Caregivers LLC
• Milford Residence LLC
• Lauren Nicole Miller, DMD
• Michael Miller II, LBS, LPC
• Samantha Miller

• Family Medicine Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.