Active NPI
Stephanie Claire Stasik, RN
- Registered Nurse
- Port Jefferson, NY
National Provider Identifier
1912507682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 805164
- Practice address
- 7 Puritan Path
Port Jefferson, NY 11777-1411 - Phone
- (336) 202-8169
- NPI assigned
- Oct 30, 2020
- Last updated
- Oct 30, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 805164 | NY | Primary |
Addresses
Primary practice location
7 Puritan Path
Port Jefferson, NY 11777-1411
Mailing address
7 Puritan Path
Port Jefferson, NY 11777-1411
Phone (336) 202-8169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 805164 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1912507682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PURITAN PATH",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771411",
"telephone_number": "336-202-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PURITAN PATH",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771411",
"telephone_number": "336-202-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASIK",
"first_name": "STEPHANIE",
"middle_name": "CLAIRE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "805164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.