Stefan Alan Pasternack, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME81445 Issued in FL

Practice address

950 Peninsula Corporate Cir
Boca Raton, FL 33487-1378

Phone

(561) 706-9584

Fax

(561) 495-0544

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Stefan a. Pasternack, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1427417971
  NPD (past) Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1861431017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 BALBOA ISLAND CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334465641",
            "telephone_number": "561-495-0266",
            "fax_number": "561-495-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PENINSULA CORPORATE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871378",
            "telephone_number": "561-706-9584",
            "fax_number": "561-495-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNACK",
        "first_name": "STEFAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME81445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "16167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Pascual, PA-C
• Howard L Pasekoff, D.M.D.
• Gisele Soledad Pasetti, LMHC
• Tyler Stephanie Passalacqua, PA-C
• Passport Health Holdings, LLC
• Juan Pastor
• Joti Patel, APRN
• Krina Vipul Patel
• Lekhraj Patel, MD
• Manish Manubhai Patel, MD

• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.