Individual provider Active NPI

Stanley John, M.D.

  • Internal Medicine Physician
  • Newburgh, NY
National Provider Identifier
1346272333
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
225651 Issued in NY
Practice address
3 Washington Ctr
Newburgh, NY 12550-4627
Phone
(845) 563-8000
Fax
(845) 565-2968
NPI assigned
Jul 7, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 225651 NY Primary

Addresses

Primary practice location

3 Washington Ctr
Newburgh, NY 12550-4627

Mailing address

3 Washington Ctr
Newburgh, NY 12550-4627
Phone (845) 563-8000

Other identifiers 1

IdentifierTypeStateIssuer
00472931MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000607 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2961480660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Icahn School of Medicine at Mount Sinai, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethel Medical Associates LLCGroup PAC ID 4688827116, 2 clinicians

Practice addresses (Care Compare)

10 Esquire Rd
Suite 9
New City, NY 10956-3336
Phone (201) 254-4766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225651NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Medical Associates LLC Internal Medicine CurrentSince Aug 29, 2012 Accepting new patients
Cornerstone Family Healthcare Past Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. PastSince Nov 12, 2012 Accepting new patients
Valley Medical Services, Inc. Internal Medicine Past Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine Past Accepting new patients

Locations

10 Esquire Rd
Ste 9
New City, NY 10956
Phone (201) 254-4766

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIJGCD/Endpoint/AIJGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCECD

Organizations & group practices 5

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 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1346272333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CTR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504627",
            "telephone_number": "845-563-8000",
            "fax_number": "845-565-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CTR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504627",
            "telephone_number": "845-563-8000",
            "fax_number": "845-565-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "225651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00472931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.