Individual provider Active NPI

Sophia Andrea Francis Stewart, MD

  • Psychiatry Physician
  • Baldwin, NY
National Provider Identifier
1730324625
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
252926 Issued in NY
Practice address
3357 Milburn Ave
Baldwin, NY 11510-5146
Phone
(347) 204-3632
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 252926 NY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 252926 NY

Addresses

Primary practice location

3357 Milburn Ave
Baldwin, NY 11510-5146

Mailing address

3357 Milburn Ave
Baldwin, NY 11510-5146
Phone (516) 223-2493

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110909002752 NY Practitioner - Psychiatry 8426228016 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
252926NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Care Diagnostic and Treatment Center ,Inc CurrentSince Apr 1, 2012 Accepting new patients
Transitional Services for New York, Inc CurrentSince Aug 3, 2011 Accepting new patients
Transitional Services for New York,Inc. Past Accepting new patients

Locations

189 Wheatley Rd
Glen Head, NY 11545
Phone (516) 626-1075

9027 Sutphin Blvd
Ste 5
Jamaica, NY 11435
Phone (718) 526-8400

1016 162nd St
Whitestone, NY 11357
Phone (718) 746-6647

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.

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1730324625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105146",
            "telephone_number": "516-223-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105146",
            "telephone_number": "347-204-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS STEWART",
        "first_name": "SOPHIA",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "252926",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "252926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.