Individual provider Active NPI

Emily Stefanski

  • Podiatrist
  • Warwick, RI
National Provider Identifier
1295362093
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
LPR00213 Issued in RI
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2770
Phone
(401) 737-7010
NPI assigned
Mar 24, 2020
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LPR00213 RI Primary

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2770

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230810002712 RI Practitioner - Podiatry 0042634164 Reassigns benefits to 1 organization
I20230829001170 CT Practitioner - Podiatry 0042634164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Coastline Foot and Ankle Specialists LLCGroup PAC ID 9739541731, 4 clinicians

Practice addresses (Care Compare)

131 Boston Post Rd
East Lyme, CT 06333-1605
Phone (860) 739-1944

85 Beach St
BLDG C
Westerly, RI 02891-2717
Phone (401) 596-0832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue57
Removal of skin lesions1-10
Removal of nail tissue795
Removal or shaving of skin growth630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Foot and Ankle Specialists LLC Podiatrist CurrentSince Jul 3, 2023 Accepting new patients

Locations

131 Boston Post Rd
East Lyme, CT 06333
Phone (860) 739-1944

85 Beach St
Westerly, RI 02891
Phone (401) 348-8112

85 Beach St
#C
Westerly, RI 02891
Phone (401) 596-0823

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1295362093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862770",
            "telephone_number": "401-737-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANSKI",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "LPR00213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.