Individual provider Active NPI

Daniel Stok, RN

  • Family Nurse Practitioner
  • Bethpage, NY
National Provider Identifier
1518293398
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340262 Issued in NY
Practice address
120 Hicksville Rd
Bethpage, NY 11714-3443
Phone
(516) 717-1839
NPI assigned
Oct 28, 2009
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340262 NY Primary
Registered Nurse 163W00000X 622699 NY

Addresses

Primary practice location

120 Hicksville Rd
Bethpage, NY 11714-3443

Mailing address

120 Hicksville Rd
Bethpage, NY 11714-3443
Phone (516) 717-1839

Other practice location 1

727 Joralemon St
Belleville, NJ 07109-1455
Phone (516) 717-1839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170215001302 NY Practitioner - Nurse Practitioner 9335422484 Reassigns benefits to 5 organizations
I20200828001665 NJ Practitioner - Nurse Practitioner 9335422484
I20220722000159 PA Practitioner - Nurse Practitioner 9335422484 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
622699NYMDRegistered Nurse
340262NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 9, 2018 Accepting new patients
New York University CurrentSince Sep 9, 2018 Accepting new patients
K & H Medical PLLC CurrentSince Feb 27, 2019 Accepting new patients
Memorial Neurology Group CurrentSince Jan 7, 2017 Accepting new patients
K&H Medical Phil PLLC CurrentSince Jun 1, 2022 Accepting new patients
Well Medical Care PC CurrentSince Jul 1, 2024 Accepting new patients
K&H Medical Phil PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

727 Joralemon St
Ste B
Belleville, NJ 07109
Phone (973) 329-0380

210 Passaic St
Garfield, NJ 07026
Phone (862) 295-3501

120 Hicksville Rd
Bethpage, NY 11714
Phone (516) 717-1887

2175 Quarry Rd
Bronx, NY 10457
Phone (718) 960-3900

672 Parkside Ave
Ste 2
Brooklyn, NY 11226
Phone (718) 246-5700

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 804-2100

46 Main St
Monsey, NY 10952
Phone (845) 538-7869

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

344 W 51st St
New York, NY 10019
Phone (212) 213-3073

6457 Woodhaven Blvd
Rego Park, NY 11374

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

235 N Broad St
Ste 100
Philadelphia, PA 19107
Phone (215) 568-6822

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

Organizations & group practices 8

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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1518293398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143443",
            "telephone_number": "516-717-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143443",
            "telephone_number": "516-717-1839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Joralemon St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071091455",
            "country_code": "US",
            "telephone_number": "516-717-1839",
            "fax_number": "516-614-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOK",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340262",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "622699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.