Active NPI
George J Stivala, MD
- Internal Medicine Physician
- New Rochelle, NY
National Provider Identifier
1134190838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214669
- Practice address
- 421 Huguenot St
Room 53
New Rochelle, NY 10801-7004 - Phone
- (914) 632-4562
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- 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 | 214669 | NY | Primary |
Addresses
Primary practice location
421 Huguenot St
Room 53
New Rochelle, NY 10801-7004
Mailing address
421 Huguenot St
Room 53
New Rochelle, NY 10801-7004
Phone (914) 632-4562
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111020000706 | NY | Practitioner - Internal Medicine | 3779755541 | Practice locations: New Rochelle, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214669 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curis Medical PLLC | Internal Medicine | Past | Accepting new patients |
| Palekar Family Medical Services PC | Past | Accepting new patients | |
| Howe Avenue Medical Services, PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- New Rochelle, NY
- NPI 1932584364
-
- Geriatric Medicine (Internal Medicine) Physician
- New Rochelle, NY
- NPI 1902870090
-
- Family Medicine Physician
- Harrison, NY
- NPI 1518954437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1134190838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 HUGUENOT ST",
"address_2": "ROOM 53",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017004",
"telephone_number": "914-632-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 HUGUENOT ST",
"address_2": "ROOM 53",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017004",
"telephone_number": "914-632-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVALA",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "214669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.