Individual provider Active NPI

Beth Lynn Stefanchik, D.O.

  • Nephrology Physician
  • Kingston, NY
National Provider Identifier
1992942551
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
254731-1 Issued in NY
Practice address
27 Grand St
Kingston, NY 12401-3933
Phone
(845) 338-1535
Fax
(845) 334-9879
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 254731-1 NY Primary

Addresses

Primary practice location

27 Grand St
Kingston, NY 12401-3933

Mailing address

27 Grand St
Kingston, NY 12401-3933
Phone (845) 338-1535

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
I20110803000150 NY Practitioner - NephrologyPractitioner - Internal Medicine 6305015629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Kidney Care of Hudson Valley, PCGroup PAC ID 0143493817, 8 clinicians

Practice addresses (Care Compare)

425 Robinson Ave
Suite 1
Newburgh, NY 12550-3303
Phone (845) 454-1399

Hospital & facility affiliations

  • USRC Ulster Dialysis Dialysis facility, Kingston, NY, CCN 332828
  • Kingston Hospital Dialysis Center- Satellite Dialysis facility, Kingston, NY, CCN 333548
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254731-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of Hudson Valley, PC Nephrology CurrentSince Jul 1, 2017 Accepting new patients
Northern Heart Specialists PC CurrentSince Sep 1, 2014 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

111 Clock Tower Cmns
#22
Brewster, NY 10509

822 Main St
Ste 330
Hopewell Junction, NY 12533
Phone (845) 592-0681

425 Robinson Ave
Ste 1
Newburgh, NY 12550
Phone (845) 454-1399

Interoperability endpoints

  • Direct secure messaging: bstefanc@direct.health-quest.org

Organizations & group practices 2

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 6

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": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1992942551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GRAND ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-1535",
            "fax_number": "845-334-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GRAND ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-1535",
            "fax_number": "845-334-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANCHIK",
        "first_name": "BETH",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "254731-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.