1710930029 NPI number — DR. JOANNE STONE M.D.

Table of content: DR. JOANNE STONE M.D. (NPI 1710930029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710930029 NPI number — DR. JOANNE STONE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STONE
Provider First Name:
JOANNE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710930029
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/04/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 E 98TH ST
Provider Second Line Business Mailing Address:
2ND FLOOR BOX 1171
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10029-6501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-241-5682
Provider Business Mailing Address Fax Number:
212-348-7438

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5 E 98TH ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-6501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-6551
Provider Business Practice Location Address Fax Number:
212-348-7438
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207VM0101X , with the licence number:  178146 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01343806 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1095249 . This is a "MSNYU HEALTH TOP TIER UHC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: MT0001250 . This is a "SELECTROPRO, PPO,EPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4319927 . This is a "AETNA,PPO,POS,EPO,INDEMN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NP641 . This is a "OXFORD, FREEDOM,OX MEDICA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0411880 . This is a "CIGNA,PPO,HMO,INDEM/ULTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0485349 . This is a "AETNA, HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1095249 . This is a "UHC, HMO,POS,PPO,EPO,INDE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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