Individual provider Active NPI

Janet Stoupel, D.M.D., M.S.

  • Periodontics
  • Forest Hills, NY
National Provider Identifier
1730209701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
041319 Issued in NY
Practice address
10101 67TH Dr
Suite a
Forest Hills, NY 11375-2756
Phone
(718) 896-0600
Fax
(718) 896-3045
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 041319 NY Primary

Addresses

Primary practice location

10101 67TH Dr
Suite a
Forest Hills, NY 11375-2756

Mailing address

10101 67TH Dr
Suite a
Forest Hills, NY 11375-2756

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610001030 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8426348921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
041319NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730209701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 67TH DR",
            "address_2": "SUITE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 67TH DR",
            "address_2": "SUITE A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752756",
            "telephone_number": "718-896-0600",
            "fax_number": "718-896-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUPEL",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "041319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.