STEPHANIE PHAM (NPI# 1518485101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518485101 |
| Entity Type | Individual |
| Full Name | STEPHANIE PHAM |
| Credential | PA-C |
| Practice Address |
115 Broadway Ste 1800 New York NY 10006-1652 |
| Mailing Address |
101 Greenwich St # 403 New York NY 10006-1895 |
| Practice Telephone | 9172614414 |
| Practice Fax Number | 9172614420 |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023869 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 6823 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2015 N Dobson Rd Ste 11, Chandler, AZ 852242295 | 4807266632 | |
| 26 Bleecker St, New York, NY 10012 | 2129657000 | |
| 3930 S Alma School Rd Ste 1, Chandler, AZ 852484510 | 4807266632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275152720 | Stephanie Anne Pham | Speech-Language Pathologist | 7310 Ne 36th St, Newton, KS 67114-8516 | 2020-04-14 |
| 1285252346 | Stephanie Nga Pham | Case Manager/Care Coordinator | 8745 Aero Dr Ste 330, San Diego, CA 92123-1763 | 2020-07-06 |
| 1952725681 | Stephanie Kim Pham | Pharmacist | 852 E Manning Ave, Reedley, CA 93654-2232 | 2014-02-17 |
| 1740564921 | Stephanie Nicole Pham | Pharmacist | 5310 N Macarthur Blvd, Irving, TX 75038-3101 | 2011-10-05 |
| 1508167214 | Stephanie Pham | Pharmacist | 745 W Naomi Ave, Arcadia, CA 91007-7517 | 2010-11-11 |
| 1336451236 | Stephanie Lynn Pham | Speech-Language Pathologist | 119 Bastille Dr, Pagosa Springs, CO 81147-9388 | 2010-07-08 |
| Street Address |
115 BROADWAY STE 1800 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144208794 | Nancy Lau | Internal Medicine | 115 Broadway Ste 1800, New York, NY 10006 | 2006-01-04 |
| 1104436021 | Uchechukwuka Osadebe M.d., Pllc | General Practice | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2020-08-05 |
| 1881229011 | Ascend Medical Services Pllc | Anesthesiology | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2020-03-09 |
| 1265078125 | Ashley Lauren Pearson | Counselor | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-11-25 |
| 1639729189 | Chaya Lezell | Dietitian, Registered | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-09-17 |
| 1578119814 | Michael John Arnold | Counselor | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-08-13 |
| 1407402613 | Naomi D Root | Social Worker | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-08-13 |
| 1255891420 | Shonali Soans | Nutritionist | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-03-22 |
| 1134688336 | Paige Karnick | Social Worker | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-03-18 |
| 1417421728 | Kyaw Htyte | Dermatology | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-01-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
| Find all providers in zip 10006 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
| Find all providers in NEW YORK | ||||
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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.