Active NPI
Mark Dominic Stancombe, RPA-C
- Physician Assistant
- Cuba, NY
National Provider Identifier
1659456028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 23-011590
- Practice address
- 140 W Main St
Cuba, NY 14727-1317 - Phone
- (585) 968-2000
- NPI assigned
- Oct 26, 2006
- Last updated
- Jun 4, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 23-011590 | NY | Primary |
Addresses
Primary practice location
140 W Main St
Cuba, NY 14727-1317
Mailing address
213 W Summit St
Lakewood, NY 14750-1045
Phone (716) 763-1837
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011590 | NY | MD | Clinical Neuropsychologist |
| 23-011590 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuba Memorial Hospital Inc | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Physician Assistant | Past | Accepting new patients |
| Akl Medical PC | Past | Accepting new patients |
Locations
140 W Main St
Cuba, NY 14727
Phone (585) 968-2000
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Cuba, NY
- NPI 1407839822
-
- Emergency Medicine Physician
- Jamestown, NY
- NPI 1528016359
-
- Skilled Nursing Facility
- Cuba, NY
- NPI 1689656852
-
- Allergy & Immunology Physician
- Olean, NY
- NPI 1801447388
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1659456028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 W SUMMIT ST",
"city": "LAKEWOOD",
"state": "NY",
"postal_code": "147501045",
"telephone_number": "716-763-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W MAIN ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271317",
"telephone_number": "585-968-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANCOMBE",
"first_name": "MARK",
"middle_name": "DOMINIC",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "23-011590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cuba, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.