Individual provider Active NPI

Stacy Hausmann, MD

  • General Practice Physician
  • Valley Stream, NY
National Provider Identifier
1740445634
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
250502 Issued in NY
Practice address
636 Michelle PL
Valley Stream, NY 11581
Phone
(516) 361-0375
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 250502 NY Primary
Pediatrics Physician 208000000X 250502 NY
Physician Assistant 363A00000X 006810 NY

Addresses

Primary practice location

636 Michelle PL
Valley Stream, NY 11581

Mailing address

636 Michelle PL
Valley Stream, NY 11581-3041
Phone (516) 361-0375

Other names 1

  • Dr. Stacy Hausmann Professional name

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
I20251030000761 NY Practitioner - General Practice 2961991989

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

636 Michelle PL
Valley Stream, NY 11581-3041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250502NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Oct 1, 2025 Accepting new patients
Gentle Touch Medical PC Pediatrics CurrentSince Dec 20, 2025 Accepting new patients
Hicksville Family Medical Care, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

9708 Seaview Ave
Ste C
Brooklyn, NY 11236

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1740445634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 MICHELLE PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813041",
            "telephone_number": "516-361-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 MICHELLE PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-361-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSMANN",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "250502",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "250502",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "HAUSMANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.