Active NPI
Stephanie Baique
- Specialist
- Corona, NY
National Provider Identifier
1992174486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 958645151
- Practice address
- 9825 Horace Harding Expy
Corona, NY 11368-4627 - Phone
- (718) 271-5637
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 958645151 | NY | Primary |
Addresses
Primary practice location
9825 Horace Harding Expy
Corona, NY 11368-4627
Mailing address
9825 Horace Harding Expy
Corona, NY 11368-4627
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958645151 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1992174486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 HORACE HARDING EXPY",
"city": "CORONA",
"state": "NY",
"postal_code": "113684627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 HORACE HARDING EXPY",
"city": "CORONA",
"state": "NY",
"postal_code": "113684627",
"telephone_number": "718-271-5637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIQUE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "958645151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.