Stefanie Ortiz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

354558 Issued in NY

Practice address

625 Montauk Hwy
Center Moriches, NY 11934-2200

Phone

(631) 878-7134

NPI assigned

Aug 17, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• South Bay Medical Care P.C.

  • Emergency Medicine Physician
  • Center Moriches, NY
  • NPI 1366569352
  NPD

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1366274359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MONTAUK HWY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MONTAUK HWY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342200",
            "telephone_number": "631-878-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "STEFANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin O'Brien
• Yvonne Clark O'Brien, RPH
• Rosemary Theresa O'Day, LPN
• Maura B O'Leary, CCC-SLP, TSHH
• Oasis Rehabilitation and Nursing LLC
• Laura Otton
• Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
• Out East Therapy of New York for OT, PT, SLP, RN and Psychology Servic
• Mark Pandolfi, LMSW
• Cynthia Lyn Pantol, MASTERS

• Family Nurse Practitioner in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.