Individual provider Active NPI

Stephanie L Donohue, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1619117140
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335032 Issued in NY
Practice address
1971 E 35TH St
Brooklyn, NY 11234-4820
Phone
(917) 288-0250
Fax
(646) 453-4382
NPI assigned
Feb 24, 2009
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 335032 NY Primary

Addresses

Primary practice location

1971 E 35TH St
Brooklyn, NY 11234-4820

Mailing address

1971 E 35TH St
Brooklyn, NY 11234-4820
Phone (917) 288-0250

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
I20231005000980 NY Practitioner - Nurse Practitioner 5799130159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians

Practice addresses (Care Compare)

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335032NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Wantagh PLLC CurrentSince Jan 8, 2024 Accepting new patients
RJ Medical & Urgent Care, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Modern Physician Services PC CurrentSince Feb 2, 2025 Accepting new patients
Downtown Women OB GYN Associates LLP PastSince Nov 2, 2011 Accepting new patients

Locations

108 Beverley Rd
#1
Brooklyn, NY 11218
Phone (347) 836-6923

4108 Avenue U
Brooklyn, NY 11234
Phone (718) 252-2581

464 Bay Ridge Ave
Ste A
Brooklyn, NY 11220
Phone (718) 680-6006

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

4954 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 308-7255

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1798/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD
  • Direct secure messaging: stephanie.donohue.1@24989.direct.athenahealth.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, 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": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1619117140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 E 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344820",
            "telephone_number": "917-288-0250",
            "fax_number": "646-453-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 E 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344820",
            "telephone_number": "917-288-0250",
            "fax_number": "646-453-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.