Individual provider Active NPI

Anca Marilena Stuparu, NP

  • Family Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1487048450
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F339212-1 Issued in NY
Practice address
10524 67TH Ave
Forest Hills, NY 11375-2162
Phone
(347) 418-1812
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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 F339212-1 NY Primary

Addresses

Primary practice location

10524 67TH Ave
Forest Hills, NY 11375-2162

Mailing address

10524 67TH Ave
Forest Hills, NY 11375-2162
Phone (347) 418-1812

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
I20151119000682 NY Practitioner - Nurse Practitioner 4183924368 Reassigns benefits to 2 organizations
Practice locations: Forest Hills, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8340 Woodhaven Blvd
Glendale, NY 11385-7824

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339212NYMDPediatrics Physician
F339212-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Jun 17, 2023 Accepting new patients
Jamaica Hospital CurrentSince Jul 5, 2015 Accepting new patients
Jamaica Hospital CurrentSince Jul 5, 2015 Accepting new patients
Lisa Rose Durso, MD PLLC PastSince Nov 27, 2017 Accepting new patients

Locations

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: astuparu1321937@nychhc.direct-ci.com

Organizations & group practices 4

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1487048450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 67TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752162",
            "telephone_number": "347-418-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 67TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752162",
            "telephone_number": "347-418-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPARU",
        "first_name": "ANCA",
        "middle_name": "MARILENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339212-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.