Active NPI
Tianna Stephens
- Medical Physician Assistant
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 165 N Village Ave Ste 5
Rockville Centre, NY 11570-3701 - Phone
- (516) 766-0393
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NY | Primary |
Addresses
Primary practice location
165 N Village Ave Ste 5
Rockville Centre, NY 11570-3701
Mailing address
2 Central Ave
Glen Cove, NY 11542-2905
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
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Sunnyside Blvd
Plainview, NY 11803-1504
Phone (888) 982-8594
200 Broadhollow Rd
Suite 207
Melville, NY 11747-4806
Phone (888) 982-8594
30 Hempstead Ave
Suite 144
Rockville Centre, NY 11570-4034
Phone (516) 764-6464
Hospital & facility affiliations
- Tender Loving Care, an Amedisys Company
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1275290025
-
- Family Medicine Physician
- Woodmere, NY
- NPI 1003983321
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1245935824
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carle Place, NY
- NPI 1932262383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1497364111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CENTRAL AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE STE 5",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703701",
"telephone_number": "516-766-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "TIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.