Stephanie Eileen St. Nicholas

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

545 Smithtown Ave
Bohemia, NY 11716-4915

Phone

(631) 291-7276

NPI assigned

Jul 23, 2025

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1922980655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SMITHTOWN AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164915",
            "telephone_number": "631-291-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SMITHTOWN AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164915",
            "telephone_number": "631-291-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. NICHOLAS",
        "first_name": "STEPHANIE",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lynn Sperzel
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• Joseph A Stassi, LCSW
• Eric T. Steffens, DPT
• Ashley Steinman
• Jason D Stern, LCSW
• Diana Dorothy Stoll, MSOT, OTR/L

• Specialist in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.