Individual provider Active NPI

Stephanie Apanah, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1942581798
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(212) 746-7798
NPI assigned
Sep 7, 2011
Last updated
Sep 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

10136 114TH St
South Richmond Hill, NY 11419-1824
Phone (347) 663-0535

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303001107 NY Practitioner - Physician Assistant 0749442234 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015147NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens Physician Assistant CurrentSince Nov 23, 2013 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 4, 2018 Accepting new patients
CHS Physician Partners, P.C CurrentSince Sep 1, 2019 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Nov 23, 2013 Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

300 Community Dr
Manhasset, NY 11030

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Interoperability endpoints

  • Direct secure messaging: sapanah119430@direct-chsli.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1942581798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10136 114TH ST",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191824",
            "telephone_number": "347-663-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APANAH",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.