Individual provider Active NPI

Melissa Sonya Stockman, RN-CS, ANP, PNP

  • Adult Health Nurse Practitioner
  • Islip, NY
National Provider Identifier
1205054137
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302133-1 Issued in NY
Practice address
152 Islip Ave Ste 23
Islip, NY 11751-3225
Phone
(631) 277-6767
NPI assigned
Apr 24, 2007
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302133-1 NY Primary
Pediatric Nurse Practitioner 363LP0200X F381245-1 NY

Addresses

Primary practice location

152 Islip Ave Ste 23
Islip, NY 11751-3225

Mailing address

152 Islip Ave Ste 23
Islip, NY 11751-3225
Phone (631) 277-6767

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000286 NY Practitioner - Nurse Practitioner 2062559602 Reassigns benefits to 2 organizations
Practice locations: Farmingville, NY; Islip, NY; Medford, NY; Smithtown, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
F302133-1NYMDAdult Health Nurse Practitioner
F381245-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Apr 1, 2019 Accepting new patients
Brookhaven Memorial Hospital Medical Center CurrentSince Feb 23, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 1, 2019 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Feb 23, 2017 Accepting new patients
Melissa Stockman Adult Care NP PC Past Accepting new patients
Bernhard Sengstock, DC, PC Past Accepting new patients
Melissa Stockman Adult Care NP PC Adult Health Past Accepting new patients

Locations

515 Bellport Ave
Bellport, NY 11713
Phone (631) 227-6600

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: mstockman31689@direct.acpny.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1205054137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE STE 23",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ISLIP AVE STE 23",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513225",
            "telephone_number": "631-277-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMAN",
        "first_name": "MELISSA",
        "middle_name": "SONYA",
        "name_prefix": "Prof.",
        "credential": "RN-CS, ANP, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302133-1",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381245-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

Verify at the official NPI Registry.