Individual provider Active NPI

Stephanie Dominique Tufano

  • Occupational Therapist
  • Syosset, NY
National Provider Identifier
1740770130
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
400065 Issued in NY
Practice address
224 W Jericho Tpke
Syosset, NY 11791-4504
Phone
(516) 388-6846
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 400065 NY Primary

Addresses

Primary practice location

224 W Jericho Tpke
Syosset, NY 11791-4504

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

29 Pinewood Dr
Commack, NY 11725-5612
Phone (631) 499-1237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215002718 NY Practitioner - Occupational Therapist in Private Practice 7214349265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurosurgery Specialists, PLLCGroup PAC ID 5294628947, 255 clinicians

Practice addresses (Care Compare)

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 627-8717

9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Dec 1, 2020 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist Current Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC Occupational Therapist CurrentSince Aug 22, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Dec 1, 2020 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Aug 22, 2022 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Sep 1, 2022 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Sep 1, 2022 Accepting new patients
Building Blocks Developmental Pre-School Past Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

532 New York Ave
Huntington, NY 11743
Phone (516) 627-8717

576 Broadhollow Rd
Melville, NY 11747

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 8

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1740770130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914504",
            "telephone_number": "516-388-6846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Pinewood Dr",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117255612",
            "country_code": "US",
            "telephone_number": "631-499-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUFANO",
        "first_name": "STEPHANIE",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "400065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.