Individual provider Active NPI

Stephanie Infante

  • Geriatric Psychiatry Physician
  • Centereach, NY
National Provider Identifier
1417684143
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
677998 Issued in NY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928002049 NY Practitioner - Nurse Practitioner 4385020387 Reassigns benefits to 1 organization

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
Eric Spronz, Psychiatric Nurse Practitioner P.C.Group PAC ID 5092121855, 5 clinicians

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 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
677998NYMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Spronz, Psychiatric Nurse Practitioner P.C. Geriatric Psychiatry CurrentSince Aug 30, 2022 Accepting new patients
East End Neuropsychiatric Associates PC Geriatric Psychiatry CurrentSince Aug 7, 2022 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.

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

Verify at the official NPI Registry.