Stuart Lance Stauber, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

136356 Issued in NY

Practice address

3415 31St Ave
Astoria, NY 11106-1450

Phone

(718) 278-2727

NPI assigned

Jul 8, 2005

Sex

Male

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• VXL Medical Care PC

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  • NPI 1528192515

  Internal Medicine

  Medicare reassignment NPD
• Nimesh Patel

  • Nephrology Physician
  • Astoria, NY
  • NPI 1952380156
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1699773291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061450",
            "telephone_number": "718-278-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061450",
            "telephone_number": "718-278-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "STUART",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00759673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costantinos Stamboulis, OTR/L
• George Stamboulis, PT, DPT
• Starshine LLC
• Statewide Interventional Pain Medicine, P.C.
• Ioannis Stathopoulos, MD
• Marzena Stec, PT
• Despina Stefanidis
• Gary David Steinman, MD
• Steinway 26 Dental Group PLLC
• Steinway 26 Dentistry PC

• Internal Medicine Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.