Active NPI
Stacy M Sebastian
- Surgery Physician
- Baltimore, MD
National Provider Identifier
1679153795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0107722
- Practice address
- 1800 Orleans St
Baltimore, MD 21287-0010 - Phone
- (410) 502-2037
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0107722 | MD | Primary |
Addresses
Primary practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-2704
Other practice location 1
550 1st Ave
New York, NY 10016-6402
Phone (212) 263-5506
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
Interoperability endpoints
- ssebastian457085@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1679153795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-2704",
"fax_number": "410-500-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870010",
"telephone_number": "410-502-2037"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "STACY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0107722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Seasons Hospice and Palliative Care of Maryland, LLC
- Rose Dominic Lu Sebastian
- Roy Sebastian, MD
- Sarah Sebastian, PA-C
- Sol Dominic Bugayong Sebastian, ACNP-BC
- Alan G Sechtin, M.D.
- Michal Alisa Kusnetz Secker, FNP-C
- Second Chance Behavioral Health Center LLC
- Second Chance Behavioral Health Center LLC
- Second Chance Behavioral Health Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.