Stacey Lynne Cantor-Adkins, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

169551-1 Issued in NY

Practice address

430 East 86TH Street
#8A
New York, NY 10028-6436

Phone

(202) 997-0500

NPI assigned

Oct 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Stacey Lynne Cantor-Adkins Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 29, 2019 through Jan 29, 2027

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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1417282906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 86TH ST",
            "address_2": "#8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286441",
            "telephone_number": "202-997-0500",
            "fax_number": "212-452-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 EAST 86TH STREET",
            "address_2": "#8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286436",
            "telephone_number": "202-997-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Grove Street #2",
            "address_2": "#4046",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073020730",
            "country_code": "US",
            "telephone_number": "917-525-5025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Sandy Hook",
            "state": "CT",
            "postal_code": "064821193",
            "country_code": "US",
            "telephone_number": "917-525-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTOR-ADKINS",
        "first_name": "STACEY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD34091",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD035961E",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "169551-1",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G 68191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "CANTOR-ADKINS",
            "middle_name": "LYNNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evelyn Cantillo, M.D.
• Orna Treasa Cantillon, MBBCHBAO
• Amanda Cantin, PHARMD
• Tony Canton
• Natalia Cantone, RD, CDN, CPT
• Adriana Cantor
• Amanda Lowry Cantor, MD
• Andrea Y Cantor, LMSW
• Andrew David Cantor, MD
• Aviva H Cantor, RPA-C

• Public Health & General Preventive Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.