Stephanie Marie Peltz, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013535-1 Issued in NY

Practice address

179 N Broad St
Norwich, NY 13815-1019

Phone

(607) 337-4034

Fax

(607) 336-2167

NPI assigned

Nov 4, 2009

Last updated

Jun 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BP Immediate Medical Care, PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1205105004
  Medicare reassignment
• Excel Urgent Care of Goshen PLLC

  • Urgent Care Clinic/Center
  • Goshen, NY
  • NPI 1710132816
  Medicare reassignment
• Exigence Medical of Binghamton PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Binghamton, NY
  • NPI 1659464758
  Medicare reassignment
• Jonathan L. Nelson, M.D., P.C.

  dba Family Dermatology Center

  • Dermatology Physician
  • Rye, NY
  • NPI 1215096375
  Medicare reassignment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment
• Cayuga Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1578639423
  NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD
• Fishkill Pharmacy LLC

  dba The Medicine Shoppe Pharmacy

  • Community/Retail Pharmacy
  • Fishkill, NY
  • NPI 1427308188
  NPD (past)
• Pharma Holding Inc

  dba Kent Pharmacy

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1770810228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151019",
            "telephone_number": "607-337-4034",
            "fax_number": "607-336-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151019",
            "telephone_number": "607-337-4034",
            "fax_number": "607-336-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Palm, MS, SLP
• Linda Tracey Palmatier, LCSW-R
• Jennifer S. Parker, OTR/L
• Jacquelyn T Parry, RN
• Carolyn Joanne Pasternak, OTR/L
• Karen K Perkins, LMSW
• Laura Perkins, DPT
• Joseph Petro, MD
• Nancy Jean Phillips, LCSW-R
• Kevin Michael Pipher, DPT

• Physician Assistant in Norwich, NY
• Providers in Norwich, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.