Individual provider Active NPI

Stephanie M Aguirre, P.A.

  • Physician Assistant
  • Babylon, NY
National Provider Identifier
1285900969
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015528 Issued in NY
Practice address
500 W Main St
Suite 116
Babylon, NY 11702-3027
Phone
(631) 422-6166
Fax
(631) 422-6269
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015528 NY Primary

Addresses

Primary practice location

500 W Main St
Suite 116
Babylon, NY 11702-3027

Mailing address

500 W Main St
Suite 116
Babylon, NY 11702-3027
Phone (631) 422-6166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saguirre@nspc.emadirect.md

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
I20131122001393 NY Practitioner - Physician Assistant 6305072240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Pain Consultants LLCGroup PAC ID 0749260107, 19 clinicians

Practice addresses (Care Compare)

500 W Main St
Suite 116
Babylon, NY 11702-3032
Phone (631) 422-6166

8 Saxon Ave
Suite E
Bay Shore, NY 11706-7036
Phone (631) 206-1034

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York Pain Consultants LLC CurrentSince Sep 16, 2013 Accepting new patients
New York Pain Consultants LLC CurrentSince Sep 16, 2013 Accepting new patients
New York Pain Consultants, LLC Past Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

100 W Main St
Ste C
Babylon, NY 11702
Phone (631) 206-1034

500 W Main St
Ste 116
Babylon, NY 11702

8 Saxon Ave
Ste A
Bay Shore, NY 11706
Phone (631) 206-1034

8 Saxon Ave
Ste E
Bay Shore, NY 11706
Phone (631) 206-1034

550 Mamaroneck Ave
Ste 503
Harrison, NY 10528
Phone (914) 346-5200

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: saguirre@nspc.emadirect.md

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1285900969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "SUITE 116",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023027",
            "telephone_number": "631-422-6166",
            "fax_number": "631-422-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "SUITE 116",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023027",
            "telephone_number": "631-422-6166",
            "fax_number": "631-422-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saguirre@nspc.emadirect.md",
            "affiliation": "N",
            "address_1": "500 W Main St",
            "address_2": "Suite 116",
            "city": "Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117023027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.