Lillian E Stachtiaris, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

186761 Issued in NY

Practice address

520 Franklin Ave
Suite 111
Garden City, NY 11530-5806

Phone

(516) 741-7600

Fax

(516) 877-5006

NPI assigned

Aug 31, 2006

Last updated

Mar 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Internal Medicine and Geriatrics Associates PLLC

  • General Practice Physician
  • Holbrook, NY
  • NPI 1659589273
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394841600000",
    "number": "1649382649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305806",
            "telephone_number": "516-741-7600",
            "fax_number": "516-877-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE",
            "address_2": "SUITE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305806",
            "telephone_number": "516-741-7600",
            "fax_number": "516-877-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHTIARIS",
        "first_name": "LILLIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "186761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01321659",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley D Sporkin, MD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
• Lisa Springer, RN
• Sri Gastroenterology PC
• Payal Srivastava, FNP
• Vilma Stade, LCSW
• Robert Stahl, DNP, AGNP-BC
• Sable Brianne Staller, DDS, MS
• Alyssa Michele Stancavage, LMSW
• Jessica Stankard

• Pediatrics Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.