Individual provider Active NPI

David Stanik, PA-C, MPH

  • Surgical Physician Assistant
  • Yorktown Heights, NY
National Provider Identifier
1730379264
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
03686-1 Issued in NY
Practice address
321 Eastern Close
Yorktown Heights, NY 10598-4921
Phone
(914) 393-1434
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 03686-1 NY Primary

Addresses

Primary practice location

321 Eastern Close
Yorktown Heights, NY 10598-4921

Mailing address

321 Eastern Close
Yorktown Heights, NY 10598-4921
Phone (914) 393-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03686-1NYMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1730379264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 EASTERN CLOSE",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984921",
            "telephone_number": "914-393-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 EASTERN CLOSE",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984921",
            "telephone_number": "914-393-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIK",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C,  MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "03686-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.