Individual provider Active NPI

Stacey Marie Quinones, MSN, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1720639941
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344318 Issued in NY
Practice address
3400 Bainbridge Ave FL Map7
Bronx, NY 10467-2404
Phone
(718) 920-2626
Fax
(718) 652-1833
NPI assigned
Sep 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344318 NY Primary

Addresses

Primary practice location

3400 Bainbridge Ave FL Map7
Bronx, NY 10467-2404

Mailing address

457 Uss New Mexico CT Apt 3
Staten Island, NY 10305-5044
Phone (347) 513-1341

Other practice location 1

1978 Crompond Rd Ste 202
Cortlandt Manor, NY 10567-4115
Phone (914) 736-0703

Other practice location 2

506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303001617 NY Practitioner - Nurse Practitioner 0840627865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Quality
84.67
Promoting interoperability
100
Improvement activities
40
Cost
71.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Oct 6, 2025 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Oct 1, 2019 Accepting new patients
Montefiore Medical Center CurrentSince May 14, 2021 Accepting new patients
Kings Physician Services, PC CurrentSince Jul 1, 2023 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jan 6, 2020 Accepting new patients
Montefiore Medical Center CurrentSince May 14, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Oct 6, 2025 Accepting new patients
Kings Physician Services, PC Current Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

1978 Crompond Rd
Ste 202
Cortlandt Manor, NY 10567
Phone (914) 293-8400

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

300 Community Dr
Plandome, NY 11030

375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000

Networks

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

Interoperability endpoints

  • Direct secure messaging: staceyquinones@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: stq9007@direct.nyp.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1720639941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 USS NEW MEXICO CT APT 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103055044",
            "telephone_number": "347-513-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BAINBRIDGE AVE FL MAP7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672404",
            "telephone_number": "718-920-2626",
            "fax_number": "718-652-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1978 Crompond Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "105674115",
            "country_code": "US",
            "telephone_number": "914-736-0703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.