Individual provider Active NPI

Stephanie Ban, FNP-BC

  • Family Nurse Practitioner
  • Manhasset, NY
National Provider Identifier
1457127292
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023061667 Issued in NY
Practice address
600 Community Dr
Manhasset, NY 11030-3802
Phone
(888) 321-3627
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023061667 NY Primary

Addresses

Primary practice location

600 Community Dr
Manhasset, NY 11030-3802

Mailing address

600 Community Dr
Manhasset, NY 11030-3802

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
I20240603004104 NY Practitioner - Nurse Practitioner 8426590639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Hofstra North Shore - Lij School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

Practice addresses (Care Compare)

241 E Main St
Unit 1a
Huntington, NY 11743-2917
Phone (631) 812-2873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2023061667NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince May 8, 2024 Accepting new patients
North Shore-Lij Medical PC PastSince May 8, 2024 Accepting new patients

Locations

5828 99th St
Flushing, NY 11368
Phone (718) 502-9867

241 E Main St
Unit 1A
Huntington, NY 11743
Phone (631) 470-8940

19 W Jericho Tpke
Huntington Station, NY 11746
Phone (631) 604-4022

377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061

265 Sunrise Hwy
Ste 20
Rockville Ctr, NY 11570
Phone (516) 268-0270

Interoperability endpoints

  • Direct secure messaging: stephanie.ban@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: sban57831@northwell.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1457127292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMMUNITY DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303802",
            "telephone_number": "888-321-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAN",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2023061667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.