Active NPI
Stephanie Mau
- Pharmacist
- New York, NY
National Provider Identifier
1750698049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00036496
- Practice address
- 590 Avenue of the Americas
New York, NY 10011-2019 - Phone
- (646) 459-3990
- NPI assigned
- Sep 8, 2010
- Last updated
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 00036496 | NY | Primary |
Addresses
Primary practice location
590 Avenue of the Americas
New York, NY 10011-2019
Mailing address
10 Schuyler Dr
Jericho, NY 11753-1912
Phone (516) 935-1706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00036496 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1750698049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SCHUYLER DR",
"city": "JERICHO",
"state": "NY",
"postal_code": "117531912",
"telephone_number": "516-935-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 AVENUE OF THE AMERICAS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100112019",
"telephone_number": "646-459-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAU",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "00036496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.