Stacy Allison Debarros, P.A.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017427 Issued in NY

Practice address

4010 Forley St
Elmhurst, NY 11373-1427

Phone

(718) 565-6565

Fax

(718) 565-6999

NPI assigned

Mar 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State University of New York Downstate Medical Center, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Medical Services Group LLCGroup PAC ID 4486878626, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• New Jersey Medical Services Group, LLC

  • Surgery Physician
  • Florham Park, NJ
  • NPI 1962828277

  NY

  Medicare reassignment Care Compare group
• MVC Az

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1477256063
  NPD (past)
• MVC CT

  • Surgery Physician
  • Stamford, CT
  • NPI 1487397600
  NPD (past)
• MVC PA PLLC

  • Surgery Physician
  • Trevose, PA
  • NPI 1669930798
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1376969576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD",
            "address_2": "STE 316",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223629",
            "telephone_number": "866-607-2308",
            "fax_number": "248-855-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 FORLEY ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731427",
            "telephone_number": "718-565-6565",
            "fax_number": "718-565-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARROS",
        "first_name": "STACY",
        "middle_name": "ALLISON",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017427",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "017427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Reyes De Jesus, MS
• Stephanie De la Rosa
• Jessica De Leon, NP
• Deborah Nicholls Dean, M.D.
• Padmaja Deb Roy
• Joshua M Decastro
• Gil A. Dechavez, D.D.S.
• Tenzin Deckyi
• Andrea N Delgado Nieves, MD
• Lisarel Delgado, PA-C

• Family Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.