Individual provider Active NPI

Stacy Andrea De-Lin, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1124345392
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
270866 Issued in NY
Practice address
26 Bleecker St
New York, NY 10012-2413
Phone
(212) 965-7000
NPI assigned
Apr 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 270866 NY Primary

Addresses

Primary practice location

26 Bleecker St
New York, NY 10012-2413

Mailing address

26 Bleecker St
New York, NY 10012-2413
Phone (212) 965-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200319002752 NY Practitioner - Family Practice 6002244381 Reassigns benefits to 3 organizations
I20210503002798 FL Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 6002244381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Hudson Peconic IncGroup PAC ID 8921376138, 17 clinicians

Practice addresses (Care Compare)

70 Maple Ave
Smithtown, NY 11787-3502
Phone (631) 361-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
270866NYMDFamily Medicine Physician

Practice roles (6 of 9)

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Jun 4, 2022 Accepting new patients
Comprehensive Medical Care, PC CurrentSince Apr 1, 2025 Accepting new patients
Planned Parenthood of Southwest and Central Florida Inc CurrentSince Dec 19, 2020 Accepting new patients
Choices Women'S Medical Center, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Planned Parenthood HP Past Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

736 Central Ave
Sarasota, FL 34236
Phone (941) 365-3913

570 Taxter Rd
Ste 250
Elmsford, NY 10523

14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002

26 Bleecker St
Prince, NY 10012
Phone (212) 274-7226

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 255-0508

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: stacy.delin.p1@direct.ppswcf.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1124345392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BLEECKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122413",
            "telephone_number": "212-965-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BLEECKER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122413",
            "telephone_number": "212-965-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE-LIN",
        "first_name": "STACY",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "270866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.