Individual provider Active NPI

Stephanie Claire Burns, NP-C

  • Adult Health Nurse Practitioner
  • Quogue, NY
National Provider Identifier
1396298543
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307841 Issued in NY
Practice address
33 Montauk Hwy
Box 1555
Quogue, NY 11959-4000
Phone
(631) 653-6000
Fax
(631) 653-8310
NPI assigned
Jul 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307841 NY Primary

Addresses

Primary practice location

33 Montauk Hwy
Box 1555
Quogue, NY 11959-4000

Mailing address

33 Montauk Hwy
Box 1555
Quogue, NY 11959-4000
Phone (631) 653-6000

Other names 1

  • Stephanie Claire Jones Former name

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
I20160826000770 NY Order and Referring Only - Nurse Practitioner 3971898123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paula Montagna, Ms, Rd, CDN, PLLC Past Accepting new patients
Peconic Family Medicine PC PastSince Feb 1, 1995 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephanie.burns@186875407826948.direct.elationemr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1396298543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MONTAUK HWY",
            "address_2": "BOX 1555",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119594000",
            "telephone_number": "631-653-6000",
            "fax_number": "631-653-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MONTAUK HWY",
            "address_2": "BOX 1555",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119594000",
            "telephone_number": "631-653-6000",
            "fax_number": "631-653-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "STEPHANIE",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JONES",
            "middle_name": "CLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quogue, NY

Sources for this page

Verify at the official NPI Registry.