Stat Medical USA

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

STAT MEDICAL USA

Practice address

1943 Vincent LN
Syosset, NY 11791-9629

Phone

(516) 650-1800

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Fagan, M.D.

Title

Member

Phone

(516) 650-1800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1821341744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354820",
            "telephone_number": "516-650-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 VINCENT LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117919629",
            "telephone_number": "516-650-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-650-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bari Nicole Sporn
• Selina Sristienvong
• Bharti Srivastava
• Pallavi Srivastava, MD
• John Stamatos, M.D.
• Harriet Stathakos, M.D.
• Deanna Stavris-Latham, M.S.ED.
• Jenna Marie Stefanowski
• Nancy D. Stein, M.A. CCC-SLP
• Michael Steinberg, PHD

• Emergency Medical Services (Emergency Medicine) Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Emergency Medical Services (Emergency Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.