Individual provider Active NPI

Phyllis M Stapleton, FNP

  • Family Nurse Practitioner
  • Cortlandt Manor, NY
National Provider Identifier
1740947852
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346969 Issued in NY
Practice address
6 Justin CT
Cortlandt Manor, NY 10567-5235
Phone
(914) 327-5997
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346969 NY Primary

Addresses

Primary practice location

6 Justin CT
Cortlandt Manor, NY 10567-5235

Mailing address

6 Justin CT
Cortlandt Manor, NY 10567-5235
Phone (914) 327-5997

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229002457 NY Practitioner - Nurse Practitioner 5597149542 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346969NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince Feb 10, 2025 Accepting new patients
Rd Medical Professional Services PC CurrentSince Feb 1, 2025 Accepting new patients
Furqan Tejani, MD PC CurrentSince Aug 15, 2025 Accepting new patients
Tapestry Telehealth PLLC PastSince Jun 21, 2020 Accepting new patients

Locations

1050 E 230th St
Bronx, NY 10466
Phone (718) 654-5875

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

777 White Plains Rd
Scarsdale, NY 10583
Phone (914) 472-9090

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

100 New Turnpike Rd
Troy, NY 12182
Phone (518) 235-1410

612 Corporate Way
Ste 1M
Vly Cottage, NY 10989
Phone (718) 732-3634

984 N Broadway
Ste LL03
Yonkers, NY 10701
Phone (914) 207-1161

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Interoperability endpoints

  • Direct secure messaging: phyllis.stapleton.1@24989.direct.athenahealth.com
  • Direct secure messaging: phyllis.stapleton@175516089319428.direct.elationemr.com

Organizations & group practices 4

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1740947852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUSTIN CT",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675235",
            "telephone_number": "914-327-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUSTIN CT",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675235",
            "telephone_number": "914-327-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "PHYLLIS",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.