Mary Ellen Stavitz, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F380031 Issued in NY

Practice address

35 S Riverside Ave
The Westchester M,Edical Practice PC
Croton on Hudson, NY 10520-2653

Phone

(914) 271-2424

Fax

(914) 271-2551

NPI assigned

May 29, 2007

Last updated

Jul 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1740481696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DAYTON LANE, SUITE 202",
            "address_2": "THE WESTCHSTER MEDICAL PRACTICE PC",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "10566",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S RIVERSIDE AVE",
            "address_2": "THE WESTCHESTER M,EDICAL PRACTICE PC",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202653",
            "telephone_number": "914-271-2424",
            "fax_number": "914-271-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVITZ",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Soliman, PHARM D.
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• Alyda Stabile, MD
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• Jeffrey Steiger, LCSW
• Anthony Henry Thomas Stephens, PH.D.
• Stover's Pharmacies, Inc. Long Term Care (Save Mor Drugs Long Term Care)
• Stovers Pharmacies Inc (Save Mor Drugs)
• Prudence Tamakloe

• Pediatric Nurse Practitioner in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.