Individual provider Active NPI

Stella Mostoff, ANP

  • Adult Medicine Physician
  • Staten Island, NY
National Provider Identifier
1659836989
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
F305874-1 Issued in NY
Practice address
59 Lindenwood Rd
Staten Island, NY 10308-2737
Phone
(718) 967-1071
Fax
(718) 966-0359
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X F305874-1 NY Primary

Addresses

Primary practice location

59 Lindenwood Rd
Staten Island, NY 10308-2737

Mailing address

59 Lindenwood Rd
Staten Island, NY 10308-2737
Phone (718) 967-1071

Other identifiers 1

IdentifierTypeStateIssuer
F305874-1OtherNYNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F305874-1NYMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1659836989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LINDENWOOD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082737",
            "telephone_number": "718-967-1071",
            "fax_number": "718-966-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LINDENWOOD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082737",
            "telephone_number": "718-967-1071",
            "fax_number": "718-966-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOFF",
        "first_name": "STELLA",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "F305874-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "F305874-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.