Stephanie Anne Cooper, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

176149-01 Issued in NY

Practice address

160 Crossways Park Drive
Woodbury, NY 11797-2028

Phone

(516) 364-4200

Fax

(516) 590-0267

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Stephanie Cooper Vastola Former name

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

Specialty

Plastic and Reconstructive Surgery

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Group practices

Stephen T. Greenberg M.D. P.C.Group PAC ID 1850627662, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Plainview Hospital Hospital, Plainview, NY, CCN 330331

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Stephen T. Greenberg MD PC

  • Plastic and Reconstructive Surgery Physician
  • Woodbury, NY
  • NPI 1821484999
  Medicare reassignment Care Compare group
• John J Schilling DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Rockaway Park, NY
  • NPI 1568788156
  NPD (past)
• Ny Medical Skin Solutions, PLLC

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1700025426
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Plainview Hospital

  • General Acute Care Hospital
  • Plainview, NY
  • NPI 1083621130
  Care Compare affiliation

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1750467189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CROSSWAYS PARK DRIVE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972028",
            "telephone_number": "516-364-4200",
            "fax_number": "516-590-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CROSSWAYS PARK DRIVE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972028",
            "telephone_number": "516-364-4200",
            "fax_number": "516-590-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "176149",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "176149-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750467189",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "05854",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P640524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "COOPER VASTOLA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cold Spring Acquisition LLC
• Cold Spring Acquisition LLC
• Cold Spring Hills Center for Nursing & Rehabilitation
• Kristin M Cole, PHARM. D.
• Julia Connolly, PT,DPT
• Iren Coopersmith
• Donald S. Cornelius, LCSW
• Salvatore J Corso, MD
• Cottage Pharmacy & Surgical Inc
• Cottage Pharmacy & Surgical, Inc

• Plastic Surgery Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.