Individual provider Active NPI

Stephanie Clemente, FNP

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1386239192
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F347307 Issued in NY
Practice address
200 W 57TH St Ste 307
New York, NY 10019-3211
Phone
(917) 410-6905
Fax
(646) 878-6095
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F347307 NY Primary

Addresses

Primary practice location

200 W 57TH St Ste 307
New York, NY 10019-3211

Mailing address

200 W 57TH St Ste 307
New York, NY 10019-3211
Phone (917) 410-6905

Other practice location 1

2818 Astoria Blvd
Astoria, NY 11102-4751
Phone (917) 410-6905

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317001803 NY Practitioner - Nurse Practitioner 7517373582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F347307NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Apr 19, 2021 Accepting new patients
Walk in GYN Care, PC CurrentSince Jul 1, 2020 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 19, 2021 Accepting new patients
Walk in Womens Gynecology PLLC PastSince Mar 20, 2025 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

200 W 57th St
Ste 608
New York, NY 10019
Phone (212) 581-4488

55 Water St
Fl 2
New York, NY 10041

200 W 57th St
Ste 307
New York, NY 10019
Phone (917) 410-6905

4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200

1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1386239192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST STE 307",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2818 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111024751",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F347307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.