Gretchen Pacheco-Stabile, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

274346-109 Issued in NY

Practice address

82 Middle Country Rd
Elsie Owen Health Center - Hrhcare, Inc.
Coram, NY 11727-4411

Phone

(631) 320-2220

Fax

(631) 698-3570

NPI assigned

Jun 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Stabile Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Deer Park, NY
  • NPI 1881966349
  Medicare reassignment NPD
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD

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

{
    "created_epoch": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1205063948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8800",
            "fax_number": "914-734-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MIDDLE COUNTRY RD",
            "address_2": "ELSIE OWEN HEALTH CENTER - HRHCARE, INC.",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274411",
            "telephone_number": "631-320-2220",
            "fax_number": "631-698-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-STABILE",
        "first_name": "GRETCHEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-21",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "274346-109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Ortenberg, DDS
• Sara Ostrowski
• Chloe Otto
• Sha-Shena R Overton, LPN
• Roseann Marie Ozcelik, RN
• Anne Padilla
• Jaclynn Paduano
• Gabrielle Palmieri
• Brian Henry Parsley, L.P.N
• Paul J Botticelli LCSW PC

• Podiatrist in Coram, NY
• Providers in Coram, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.

Verify at the official NPI Registry.