MR. CHARLES B STACY JR. (NPI# 1457453375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457453375 |
| Entity Type | Individual |
| Full Name | MR. CHARLES B STACY JR. |
| Credential | MD |
| Practice Address |
5 E 98th St 7th Floor New York NY 10029-6501 |
| Practice Telephone | 2122410022 |
| Practice Fax Number | 2122414350 |
| Mailing Telephone | 2122410022 |
| Mailing Fax Number | 2122414350 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
137377 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD | NS1858 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710933262 | Charles Colin Stacy | Obstetrics & Gynecology | 1105 Central Expy N, Suite 340, Allen, TX 75013-6103 | 2006-05-26 |
| Street Address |
5 E 98TH ST 7TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324226 | Waleed A Hassen | Specialist | 5 E 98th St, Fl 6, New York, NY 10029-6501 | 2005-05-23 |
| 1780282236 | Alanna Shinske | Social Worker | 5 E 98th St, New York, NY 10029-6501 | 2020-10-15 |
| 1518576842 | Molly Eve Skoff | Physician Assistant | 5 E 98th St, New York, NY 10029-6501 | 2020-07-22 |
| 1215551395 | Bahar Moghaddam | Internal Medicine | 5 E 98th St, New York, NY 10029-6501 | 2020-06-03 |
| 1710509682 | Chelsea Castaneda | Physician Assistant | 5 E 98th St, New York, NY 10029-6501 | 2020-05-13 |
| 1275152506 | David E Kantrowitz | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-16 |
| 1700405487 | Christine Sarah Williams | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-13 |
| 1548889256 | Kathryn Carr Whitelaw | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-13 |
| 1285253278 | Alexander Lieber | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-10 |
| 1871056945 | Kelsey Berger | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2019-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
| 1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
| 1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
| 1285808287 | Jason Brant Carmel | Psychiatry & Neurology | 180 Fort Washington Ave Rm 540, New York, NY 10032-3735 | 2008-04-22 |
| 1255514469 | Douglas Michael Sproule | Psychiatry & Neurology | 180 Fort Washington Ave Fl 5, Harkness Pavilion, Columbia-presbyterian Medical Center, New York, NY 10032-3735 | 2007-12-11 |
| 1073609327 | John Timothy Wells | Psychiatry & Neurology | 109 E 67th St, New York, NY 10021-5901 | 2006-10-05 |
| 1013939545 | Samuel Apeatu | Psychiatry & Neurology | 225 Broadway Ste 705, New York, NY 10007 | 2006-07-24 |
| 1215962055 | Syed Hosain | Psychiatry & Neurology | 1865 Amsterdam Ave, Lower Level, New York, NY 10031-1716 | 2006-07-11 |
| 1487600953 | Cigdem Inan Akman | Psychiatry & Neurology | 180 Ft Washingtn Ave, New York, NY 10032-3722 | 2006-05-26 |
| 1902469083 | Aishat Anuoluwapo Bakare | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2019-04-15 |
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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.