Marie D Stahl, NP NURSEPRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ00105800 Issued in NJ

Practice address

6251 State Route 31
Cicero, NY 13039

Phone

(315) 699-9595

Fax

(315) 699-7095

NPI assigned

Sep 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Ted J. Triana, DO PC

  dba Compassionate Family Medicine

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1992243687
  NPD (past)
• Wee Care Pediatrics, PLLC

  • Pediatrics Physician
  • Cicero, NY
  • NPI 1851577886
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1578759353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 STATE ROUTE 31",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "13039",
            "telephone_number": "315-699-9595",
            "fax_number": "315-699-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 STATE ROUTE 31",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "13039",
            "telephone_number": "315-699-9595",
            "fax_number": "315-699-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "MARIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NP NURSEPRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12297500",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00105800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Riley Smith
• Alexander Sonesson, DMD
• Sonus-USA, Inc
• Margaret L Southard, SP ED
• Teresa Spinella, RN
• Thomas Stebbins
• Amy Stevens, M.S., CCC-SLP
• David M Stevens Jr.
• Samantha May Stevens, PA-C
• Brittany Allissa Stojkovski, PA

• Pediatric Nurse Practitioner in Cicero, NY
• Providers in Cicero, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.