Active NPI
Stanley M Haymes, M.D.
- Otolaryngology Physician
- Smithtown, NY
National Provider Identifier
1215206750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 077247
- Practice address
- 19 Flamingo Dr
Smithtown, NY 11787-3307 - Phone
- (631) 265-0852
- NPI assigned
- Dec 28, 2011
- Last updated
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 077247 | NY | Primary |
Addresses
Primary practice location
19 Flamingo Dr
Smithtown, NY 11787-3307
Mailing address
19 Flamingo Dr
Smithtown, NY 11787-3307
Phone (631) 265-0852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1215206750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FLAMINGO DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873307",
"telephone_number": "631-265-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 FLAMINGO DR",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873307",
"telephone_number": "631-265-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYMES",
"first_name": "STANLEY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "077247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.