Active NPI
Stephanie Infante
- Geriatric Psychiatry Physician
- Centereach, NY
National Provider Identifier
1417684143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 677998
- Practice address
- 2539 Middle Country Rd Ste 4
Centereach, NY 11720-3503 - Phone
- (631) 737-6434
- NPI assigned
- Aug 3, 2022
- Last updated
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 677998 | NY | Primary |
Addresses
Primary practice location
2539 Middle Country Rd Ste 4
Centereach, NY 11720-3503
Mailing address
188 Austin St
Lindenhurst, NY 11757-5303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.eastendneuropsych.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2539 Middle Country Rd
Suite 4
Centereach, NY 11720-3503
Phone (631) 737-6434
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 677998 | NY | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Spronz, Psychiatric Nurse Practitioner P.C. | Geriatric Psychiatry | Current | Accepting new patients |
| East End Neuropsychiatric Associates PC | Geriatric Psychiatry | Current | Accepting new patients |
Locations
2539 Middle Country Rd
Ste 4
Centereach, NY 11720
Phone (516) 737-6434
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba East End Neurpsych
- Geriatric Psychiatry Physician
- Centereach, NY
- NPI 1063029411
-
- Geriatric Psychiatry Physician
- Centereach, NY
- NPI 1609863687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1417684143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 AUSTIN ST",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117575303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2539 MIDDLE COUNTRY RD STE 4",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203503",
"telephone_number": "631-737-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NY",
"license": "677998",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.eastendneuropsych.com",
"affiliation": "N",
"address_1": "2539 Middle Country Rd Ste 4",
"city": "Centereach",
"state": "NY",
"country_code": "US",
"postal_code": "117203503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.