Active NPI
Stephanie Egbuchunam, PA
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1275925505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 018350-1
- Practice address
- 2601 Ocean Pkwy
Brooklyn, NY 11235-7745 - Phone
- (718) 616-4385
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 018350-1 | NY | Primary |
Addresses
Primary practice location
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Mailing address
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-4385
Other practice location 1
150 55th St
Brooklyn, NY 11220-2508
Phone (718) 630-8718
Other names 1
- Stephanie Spirawk
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sspirawk257475@nyumc.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018350-1 | NY | MD | Orthopedic Physical Therapist |
| 018350 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- sspirawk257475@nyumc.direct-ci.com
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.
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1275925505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357745",
"telephone_number": "718-616-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357745",
"telephone_number": "718-616-4385"
}
],
"practiceLocations": [
{
"address_1": "150 55th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202508",
"country_code": "US",
"telephone_number": "718-630-8718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGBUCHUNAM",
"first_name": "STEPHANIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "018350-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sspirawk257475@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "150 55th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112202508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "SPIRAWK",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.