Active NPI
Stephanie Buck-Haskin MD PC
- Legal Medicine
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 150662
- Legal business name
- STEPHANIE BUCK-HASKIN MD PC
- Practice address
- 600 Northern Blvd
109
Great Neck, NY 11021-5206 - Phone
- (516) 482-6100
- Fax
- (516) 466-7616
- NPI assigned
- Sep 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie C. Buck-Haskin, M.D.
- Title
- President
- Phone
- (516) 482-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 150662 | NY | Primary |
Addresses
Primary practice location
600 Northern Blvd
109
Great Neck, NY 11021-5206
Mailing address
600 Northern Blvd
109
Great Neck, NY 11021-5206
Phone (516) 482-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952362774 | Other | NY | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0934602 | Stephanie Buck Haskin MD PC | Provider-performed microscopy | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
4008 Forley St
Ste 3
Elmhurst, NY 11373
200 Garden City Plz
#100B
Garden City, NY 11530
600 Northern Blvd
Ste 109
Great Neck, NY 11021
Phone (516) 482-6100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Great Neck, NY
- NPI 1952362774
-
- Gynecology Physician
- Clifton, NJ
- NPI 1437197837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340668800000",
"number": "1487937702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NORTHERN BLVD",
"address_2": "109",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215206",
"telephone_number": "516-482-6100",
"fax_number": "516-466-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NORTHERN BLVD",
"address_2": "109",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215206",
"telephone_number": "516-482-6100",
"fax_number": "516-466-7616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE BUCK-HASKIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-22",
"last_updated": "2012-06-26",
"status": "A",
"authorized_official_last_name": "BUCK-HASKIN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-482-6100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "NY",
"license": "150662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1952362774",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.