Stephan Maxwell Donis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P2179 Issued in NY

Practice address

270 Farragut Ave
Hastings on Hudson, NY 10706-3518

Phone

(914) 674-0479

NPI assigned

Jan 5, 2007

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1396892808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARRAGUT AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063518",
            "telephone_number": "914-674-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARRAGUT AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063518",
            "telephone_number": "914-674-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONIS",
        "first_name": "STEPHAN",
        "middle_name": "MAXWELL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "P2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00221353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "P22262",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "432921",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01650435",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "133069342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dentistry for Children at Hastings PC
• June Ellen Dicicco-Hanley, LCSW-R
• Santina Diluoffo, DC
• Stephen Anthony Dimauro, DNP
• Stacey J. Dominguez, RPH
• Lani Donlon, LCSW
• Catherine Emigholz Drozd, NP
• Eliza Zimmerer LCSW, PLLC
• Julia Mae Emanuel, MD
• Fabian Engelbertz, M.D.

• Podiatrist in Hastings on Hudson, NY
• Providers in Hastings on Hudson, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.