Individual provider Active NPI

Stacey K Baptiste, DPM

  • Foot & Ankle Surgery Podiatrist
  • Huntington, NY
National Provider Identifier
1356518633
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
65006253 Issued in NY
Practice address
158 E Main St
Suite 2
Huntington, NY 11743-2988
Phone
(631) 271-2491
Fax
(631) 271-2608
NPI assigned
May 15, 2008
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 65006253 NY Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 65006253 NY
Sports Medicine Podiatrist 213ES0000X 65006253 NY

Addresses

Primary practice location

158 E Main St
Suite 2
Huntington, NY 11743-2988

Mailing address

158 E Main St
Suite 2
Huntington, NY 11743-2988
Phone (631) 271-2491

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000876 NY Practitioner - Podiatry 2860524345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

158 E Main St
Suite 2
Huntington, NY 11743-2988
Phone (631) 271-2491

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue104
Removal of skin lesions64
Removal of nail tissue148
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65006253NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Podiatry PC Foot & Ankle Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sbaptiste69114@northwell.direct-ci.com

Organizations & group practices 2

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 1

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1356518633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-271-2491",
            "fax_number": "631-271-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-271-2491",
            "fax_number": "631-271-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTISTE",
        "first_name": "STACEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "65006253",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "65006253",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "65006253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.