Individual provider Active NPI

Stacey A Patterson, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1790733152
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
228386 Issued in NY
Practice address
49 N 8TH St
Apt 5D
Brooklyn, NY 11249-2878
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 228386 NY Primary

Addresses

Primary practice location

49 N 8TH St
Apt 5D
Brooklyn, NY 11249-2878

Mailing address

11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

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
I20050104001078 NY Practitioner - Diagnostic Radiology 3779531983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 25, 2017 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Advantagecare Physicians PC CurrentSince Feb 25, 2017 Accepting new patients
Advanced Radiological Imaging Associates, P.C.-Astoria Diagnostic Radiology Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

2916 Astoria Blvd
Astoria, NY 11102
Phone (718) 204-5800

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

1991 Marcus Ave
Fl 2
New Hyde Park, NY 11042
Phone (516) 354-1600

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

16927 137th Ave
Rochdale Vlg, NY 11434
Phone (718) 977-0300

Interoperability endpoints

  • Direct secure messaging: stacey.patterson@direct.hvhc.org
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 5

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1790733152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N 8TH ST",
            "address_2": "APT 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112492878",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "228386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.