Active NPI
Stacy Ann Henigsman, D.O.
- Obstetrics Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 20A8538
- Practice address
- 90 Maiden LN RM 300
New York, NY 10038-4725 - Phone
- (646) 290-9560
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 20A8538 | CA | Primary |
Addresses
Primary practice location
90 Maiden LN RM 300
New York, NY 10038-4725
Mailing address
10650 Reagan St Unit 1009
Los Alamitos, CA 90720-8854
Phone (714) 968-4536
Other names 1
- Stacy Ann Bunn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8255 S Dixie Hwy
Miami, FL 33143-7717
Phone (305) 458-1384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8538 | CA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heme on Call USA PC | Current | Accepting new patients | |
| Heme Onc Call | Current | Accepting new patients | |
| Allara Medical Group PA | Past | Accepting new patients |
Locations
2907 Shelter Island Dr
Ste 216
San Diego, CA 92106
Phone (786) 567-8310
9850 Stirling Rd
Ste 100
Hollywood, FL 33024
Phone (786) 567-8310
105 Commerce St
Ste 109
Lake Mary, FL 32746
Phone (267) 939-1819
8255 S Dixie Hwy
Miami, FL 33143
Phone (305) 458-1384
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJABCD
- stacy.henigsman@335000925634564.direct.elationemr.com
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Miami, FL
- NPI 1922628833
-
- Hematology & Oncology Physician
- San Diego, CA
- NPI 1669362414
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1699827162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10650 REAGAN ST UNIT 1009",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907208854",
"telephone_number": "714-968-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MAIDEN LN RM 300",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384725",
"telephone_number": "646-290-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENIGSMAN",
"first_name": "STACY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "20A8538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "BUNN",
"middle_name": "ANN",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.