Individual provider Active NPI

Stefanie Crystal Cardamone, M.D.

  • Obstetrics & Gynecology Physician
  • Stony Brook, NY
National Provider Identifier
1760610562
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
269471 Issued in NY
Practice address
101 Nicolls Road
HSC Level 9 Room 090
Stony Brook, NY 11794
Phone
(631) 444-4686
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 269471 NY Primary

Addresses

Primary practice location

101 Nicolls Road
HSC Level 9 Room 090
Stony Brook, NY 11794

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (845) 527-9038

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address scardamone23660@nyumc.direct-ci.com
Direct Messaging Address Stefanie.Cardamone@direct.stonybrookmedicine.edu

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828000822 NY Practitioner - Obstetrics/Gynecology 7214243799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269471NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2015 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Sep 1, 2015 Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients

Locations

4875 Sunrise Hwy
Ste 200
Bohemia, NY 11716
Phone (631) 638-4401

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

101 Nicolls Rd
Rm 90
Stony Brook, NY 11794
Phone (631) 444-2757

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1760610562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "845-527-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS ROAD",
            "address_2": "HSC LEVEL 9 ROOM 090",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11794",
            "telephone_number": "631-444-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDAMONE",
        "first_name": "STEFANIE",
        "middle_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "269471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scardamone23660@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "550 1st Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stefanie.Cardamone@direct.stonybrookmedicine.edu",
            "affiliation": "N",
            "address_1": "101 Nicolls Road",
            "address_2": "HSC Level 9 Room 090",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.