Stanley C. Giudici, M.D., M.A.R.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

234957 Issued in NY

Practice address

111 Maltese Dr
Middletown, NY 10940-2115

Phone

(845) 342-4774

Fax

(845) 818-7555

NPI assigned

Jul 18, 2005

Reactivated

Apr 4, 2006

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Stanley C. Giudici, M.D., M.a.R., P.C.

  • Psychiatry Physician
  • Middletown, NY
  • NPI 1386872158
  NPD (past) Authorized official
• Southern Iowa Mental Health Center

  • Community/Behavioral Health Agency
  • Ottumwa, IA
  • NPI 1457178428
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1396744892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN ROAD",
            "address_2": "SUITE 125",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-692-4770",
            "fax_number": "845-692-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MALTESE DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402115",
            "telephone_number": "845-342-4774",
            "fax_number": "845-818-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUDICI",
        "first_name": "STANLEY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2009-09-15",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "234957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank B. Giorgianni Jr., D.D.S.
• Michael J. Giorgianni, D.M.D.
• George G Giovannone, PT
• Lissette Giraud, MD
• Adam Wayne Gitlin, MD
• Delores Givans, LPN
• Joseph Ezra Glaser, MD
• Lavern Angela Glave, ANP
• Cori-Leigh Gleason
• Mary Beth Anne Gleason, OTR/L

• Psychiatry Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.