Individual provider Active NPI

Amanda Patrice Stewart, M.D.

  • Obstetrics & Gynecology Physician
  • Jamaica, NY
National Provider Identifier
1972749695
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
248011 Issued in NY
Practice address
8906 135TH St
Jamaica, NY 11418-2821
Phone
(718) 206-8518
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 248011 NY Primary

Addresses

Primary practice location

8906 135TH St
Jamaica, NY 11418-2821

Mailing address

514 E 43Rd St
Brooklyn, NY 11203-5716
Phone (718) 451-0865

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000485 NY Practitioner - Obstetrics/Gynecology 6103073341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8 N Oceanside Rd
Rockville Centre, NY 11570-5125
Phone (631) 923-1333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Obstetrics & Gynecology CurrentSince Sep 11, 2023 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Current Accepting new patients
St. Barnabas OB GYN, PC Obstetrics & Gynecology CurrentSince Jul 23, 2019 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Sep 11, 2023 Accepting new patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2012 Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

250 Fulton Ave
Hempstead, NY 11550
Phone (516) 485-5710

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

8 N Oceanside Rd
Rockville Ctr, NY 11570
Phone (516) 536-4400

Networks

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

Interoperability endpoints

  • Direct secure messaging: astewart21249@sbhny.direct-ci.net
  • Direct secure messaging: astewart1140686@nychhc.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1972749695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E 43RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035716",
            "telephone_number": "718-451-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 135TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182821",
            "telephone_number": "718-206-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AMANDA",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "248011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.