Individual provider Active NPI

Stacey Charnes, M.D.

  • Obstetrics & Gynecology Physician
  • Forest Hills, NY
National Provider Identifier
1356313290
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2052811 Issued in NY
Practice address
6905 Yellowstone Blvd
Forest Hills, NY 11375-3753
Phone
(718) 544-8400
Fax
(718) 263-5401
NPI assigned
Feb 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2052811 NY Primary

Addresses

Primary practice location

6905 Yellowstone Blvd
Forest Hills, NY 11375-3753

Mailing address

6905 Yellowstone Blvd
Forest Hills, NY 11375-3753
Phone (718) 544-8400

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
I20080304000448 NY Practitioner - Obstetrics/Gynecology 8921183732 Reassigns benefits to 2 organizations
Practice locations: Forest Hills, NY; Lawrence, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Medical Services of Bellmore PCGroup PAC ID 8022492693, 17 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-4400

6905 Yellowstone Blvd
Forest Hills, NY 11375-3753
Phone (718) 544-8400

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2052811NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Bellmore PC Obstetrics & Gynecology CurrentSince Nov 4, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 4, 2024 Accepting new patients
Raphael Reiss, a Physician P.C. Specialist PastSince Nov 17, 2011 Accepting new patients
Urologic Surgical Care PLLC Past Accepting new patients
Urologic Surgical Care LLC PastSince Jul 7, 2024 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

2428 Merrick Rd
Bellmore, NY 11710
Phone (516) 379-2689

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

Networks

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

Interoperability endpoints

  • Direct secure messaging: staceycharnes@nslijmedgr.allscriptsdirect.net

Organizations & group practices 7

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 4

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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1356313290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753753",
            "telephone_number": "718-544-8400",
            "fax_number": "718-263-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753753",
            "telephone_number": "718-544-8400",
            "fax_number": "718-263-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNES",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-04",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2052811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.