Nicholas Christopher Stefanidis, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

315 E Shore Rd
Manhasset, NY 11030-2923

Phone

(516) 487-5577

NPI assigned

Aug 31, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Touro Un Col of Osteopathic Medicine, New York, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Networks

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

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.

• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment Care Compare group
• Dimitri N Kessaris MDPC

  • Urology Physician
  • Manhasset, NY
  • NPI 1154430148
  Medicare reassignment

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1356019913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-487-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-487-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6902 Austin St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754233",
            "country_code": "US",
            "telephone_number": "718-544-4443",
            "fax_number": "516-487-2947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5710 Junction Blvd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735171",
            "country_code": "US",
            "telephone_number": "718-505-1239",
            "fax_number": "718-505-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2508 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112293916",
            "country_code": "US",
            "telephone_number": "718-258-1800",
            "fax_number": "516-487-2947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3739 75th St",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113726422",
            "country_code": "US",
            "telephone_number": "718-505-1177",
            "fax_number": "718-505-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214812",
            "country_code": "US",
            "telephone_number": "516-487-5577",
            "fax_number": "516-487-2947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 E 85th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100282168",
            "country_code": "US",
            "telephone_number": "212-288-8084",
            "fax_number": "212-288-8082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2747 Crescent St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111023142",
            "country_code": "US",
            "telephone_number": "718-728-3200",
            "fax_number": "516-487-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANIDIS",
        "first_name": "NICHOLAS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniele Starnoni
• Andrei Stashonak, MS, PHARMD
• Alyssa Stauber, MD
• Constantine Stavrinoudis
• Joph Steckel, MD
• Laura Stein, C.R.N.A.
• Samara Hailey Stein
• Hewitt A. Steinberg, DC
• Julia Christina Steiner
• Alexandra Elisabeth Steinmann, FNP-BC

• Physician Assistant in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.