STEPHANIE PHILOMENA BURNS (NPI# 1871030601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871030601 |
Entity Type | Individual |
Full Name | STEPHANIE PHILOMENA BURNS |
Credential | PA-C |
Practice Address |
75 N Country Rd Port Jefferson NY 11777-2119 |
Mailing Address |
76 Hedges Ave East Patchogue NY 11772-5503 |
Practice Telephone | 6318392459 |
Mailing Telephone | 6318392459 |
Enumeration Date | 2017-01-31 |
Last Update Date | 2020-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
020587-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1300 Massachusetts Ave, Troy, NY 121801628 | 5182685234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659836427 | Stephanie Lynn Burns | Occupational Therapist | 5000 Research Ct Ste 450, Suwanee, GA 30024-6660 | 2019-02-06 |
1316288012 | Stephanie Lynn Burns | Massage Therapist | 84568 N Enterprise Rd, Pleasant Hill, OR 97455-9608 | 2013-03-06 |
1578865069 | Stephanie Burns | Physician Assistant | 20 W Kinzie St, Suite 1130, Chicago, IL 60654-6392 | 2010-12-03 |
1912488842 | Stephanie Ann Burns | Occupational Therapist | 6000 E Iliff Ave, Denver, CO 80222-5721 | 2018-08-28 |
1134608987 | Stephanie Burns Burns | Counselor | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2018-08-13 |
1396298543 | Stephanie Claire Burns | Nurse Practitioner | 33 Montauk Hwy, Box 1555, Quogue, NY 11959-4000 | 2016-07-24 |
1841665189 | Stephanie Burns | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2015-12-12 |
1538596564 | Stephanie D Burns | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2013-10-04 |
1255672598 | Stephanie Britt Burns | Speech-Language Pathologist | 80 N Clarke Rd, Ocoee, FL 34761-9163 | 2013-03-12 |
1811240401 | Stephanie Anne Burns | Specialist | 597 3rd Ave, Troy, NY 12182-2509 | 2012-10-19 |
Street Address |
75 N COUNTRY RD |
City | PORT JEFFERSON |
State | NY |
Zip Code | 11777-2119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093718728 | John T. Mather Memorial Hospital | Psychiatric Unit | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2005-05-27 |
1124633169 | Ewelina Mieczkowska | Physician Assistant | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-09-15 |
1114546652 | Kelly Miller | Registered Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-14 |
1194344143 | John Lotfi | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-10 |
1669001897 | Robert Franklin Wilson | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-08 |
1245868611 | Tia Bimal | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-31 |
1427686203 | Aakash Babaria | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-29 |
1821626789 | Anjali Kewalramani | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
1578190591 | Joon Oh | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-27 |
1871121848 | Sonali Nanda | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
Find all providers in zip 11777 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346388980 | Richard George Ruppenstein | Physician Assistant | 102 Prospect St, Port Jefferson, NY 11777-1813 | 2007-02-04 |
1265844716 | John T Mather Memorial Hospital | Physician Assistant | 625 Belle Terre Rd, Suite 203, Port Jefferson, NY 11777-2316 | 2014-06-02 |
1891071544 | Nicole Cimino-nardolillo | Physician Assistant | 125 Oakland Ave, Suite 204, Port Jefferson, NY 11777-2130 | 2011-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
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City | PORT JEFFERSON |
Zip Code | 11777 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.