John Stassi, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD027552E Issued in PA

Practice address

150 W End Ave Apt 10a
New York, NY 10023-5745

Phone

(215) 450-8436

NPI assigned

May 25, 2006

Last updated

Mar 7, 2023By 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

State licenses

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.

• Bryn Mawr Imaging

  • Diagnostic Radiology Physician
  • Bryn Mawr, PA
  • NPI 1457351314
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205882958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W END AVE APT 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235745",
            "telephone_number": "215-450-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W END AVE APT 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235745",
            "telephone_number": "215-450-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASSI",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD027552E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011376370008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Stasenko, M.S., RD
• Nicholas F Stasi, P.A.
• Olaf Marek Stasiun
• Philip Stasko
• George Stassa, M.D.
• Chrystyna Stasyshyn, RPA-C
• Tetyana Stasyshyn, DDS
• Gabriel Stasyszyn, DPT
• Stat Medical Associates PLLC (Medhattan Immediate Medical Care)
• Stat Medical Care PC

• Diagnostic Radiology Physician in New York, NY
• Providers in New York, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.