Active NPI
Stephan Petranker, M.D.
- Anesthesiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 170664-2
- Practice address
- 760 Broadway
3A - 30
Brooklyn, NY 11206 - Phone
- (718) 963-8496
- Fax
- (718) 963-8501
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 170664-2 | NY | Primary |
Addresses
Primary practice location
760 Broadway
3A - 30
Brooklyn, NY 11206
Mailing address
760 Broadway
3A - 30
Brooklyn, NY 11206
Phone (845) 369-7118
Other practice location 1
355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170664-2 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775
Hospital & facility affiliations
- Bon Secours Community Hospital
- Garnet Health Medical Center Catskills
- Good Samaritan Hospital of Suffern
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170664-2 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Ramapo Anesthesiologists, PC | Anesthesiology | Current | Accepting new patients |
| Chemung Medical Services PC | Past | Accepting new patients | |
| Atlanticare Regional Medical Center | Anesthesiology | Past | Accepting new patients |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741
100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701
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.
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1356378889
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
-
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1881767127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "3A - 30",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "845-369-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "3A - 30",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8496",
"fax_number": "718-963-8501"
}
],
"practiceLocations": [
{
"address_1": "355 Bard Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103101664",
"country_code": "US",
"telephone_number": "718-818-1234",
"fax_number": "516-945-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETRANKER",
"first_name": "STEPHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "170664-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "170664-2",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.