Joel Irwin Stakofsky, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

154757 Issued in NY

Practice address

209 Steinway Ave
Staten Island, NY 10314-4820

Phone

(718) 698-2211

Fax

(718) 698-6289

NPI assigned

Aug 18, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396859583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 STEINWAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144820",
            "telephone_number": "718-698-2211",
            "fax_number": "718-698-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 STEINWAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144820",
            "telephone_number": "718-698-2211",
            "fax_number": "718-698-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKOFSKY",
        "first_name": "JOEL",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "154757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01841905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Stadler
• Anastasia Stadnik
• Constance Stafford, LCSW-R
• Alyssa Staiano
• Adrienne Stakofsky, RD
• Carl Stallmann, PH.D.
• Stefanie Anne Stallone, PHARMD
• Stand-Up MRI of Staten Island, PC
• Glenn R Stanislaus, DMD
• Shereen Shanthinie Stanislaus, RN

• Pediatric Adolescent Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.