STEPHANIE PHILOMENA BURNS


Address: 75 N Country Rd, Port Jefferson, NY 11777-2119
Phone: 6318392459

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1300 Massachusetts Ave, Troy, NY 121801628 5182685234

Other Providers STEPHANIE BURNS

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

Office Location

Street Address 75 N COUNTRY RD
City PORT JEFFERSON
State NY
Zip Code 11777-2119

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City PORT JEFFERSON
Zip Code 11777

Improve Information

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Dataset Information

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.

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