Individual provider Active NPI

Dessislava Stefanova

  • Surgery Physician
  • Bellmore, NY
National Provider Identifier
1831551167
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
294310 Issued in NY
Practice address
2750 Merrick Rd
Bellmore, NY 11710-5720
Phone
(516) 992-5626
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 294310 NY Primary

Addresses

Primary practice location

2750 Merrick Rd
Bellmore, NY 11710-5720

Mailing address

2750 Merrick Rd
Bellmore, NY 11710-5720
Phone (516) 992-5626

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
I20250106001925 NY Practitioner - General Surgery 8820526726 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Drexel University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294310NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Current Accepting new patients
New York University Surgery CurrentSince Jun 1, 2025 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Nov 1, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Surgery CurrentSince Nov 1, 2024 Accepting new patients
New York University CurrentSince Jun 1, 2025 Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Ny Presbyterian Hospital - Cornell Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

2750 Merrick Rd
Bellmore, NY 11710
Phone (516) 409-2000

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

159 E 53rd St
Fl 2
New York, NY 10022
Phone (646) 754-3300

530 1st Ave
Ste 10S
New York, NY 10016
Phone (212) 263-3166

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

Networks

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

Interoperability endpoints

  • Direct secure messaging: dstefanova712031@nyumc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1831551167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105720",
            "telephone_number": "516-992-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105720",
            "telephone_number": "516-992-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOVA",
        "first_name": "DESSISLAVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "294310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.