JUDITH STAVIS (NPI# 1598791568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598791568 |
| Entity Type | Individual |
| Full Name | JUDITH STAVIS |
| Credential | MD |
| Practice Address |
26 Firemens Memorial Dr Suite 120 Pomona NY 10970-3553 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8453625900 |
| Practice Fax Number | 8453625348 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 124478 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
26 FIREMENS MEMORIAL DR SUITE 120 |
| City | POMONA |
| State | NY |
| Zip Code | 10970-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875844 | Deborah Occhiogrosso | Nurse Practitioner | 26 Firemens Memorial Dr, Suite 215, Pomona, NY 10970-3553 | 2006-01-10 |
| 1487007571 | Brian Lee Fitzpatrick | Internal Medicine | 26 Firemens Memorial Dr, Pomona, NY 10970-3553 | 2016-07-13 |
| 1457778391 | Christine Miller | Physical Therapist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2014-03-27 |
| 1194147504 | Ethan Burger | Physical Therapist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2014-01-21 |
| 1831451244 | Pomona Ob Gyn PC | Obstetrics & Gynecology | 26 Firemens Memorial Dr, Suite 120b, Pomona, NY 10970-3553 | 2012-06-12 |
| 1518231463 | Jill M Fetell | Family Medicine | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2012-02-23 |
| 1902103534 | Amazing Acupuncture,llc | Acupuncturist | 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 | 2011-02-17 |
| 1750432787 | Maya Gluck-shats | Internal Medicine | 26 Firemens Memorial Dr, Ste 215, Pomona, NY 10970-3553 | 2007-01-16 |
| 1144318981 | Comprehensive Obstetrics & Gynecology P C | Obstetrics & Gynecology | 26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553 | 2006-10-10 |
| 1417979717 | Stephen M Koretsky | Psychologist | 26 Firemens Memorial Dr, Suite 113, Pomona, NY 10970-3553 | 2006-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429857 | Adina Meira Shapiro | Occupational Therapist | 7 Gessner Terrace, Pomona, NY 10970 | 2020-02-18 |
| 1619339363 | Summit Park At Friedwald Care, LLC | Skilled Nursing Facility | 50 Sanitorium Rd, Bldg A, 3rd Floor, Pomona, NY 10970 | 2016-03-22 |
| 1215351093 | Nicole Lupo | Licensed Practical Nurse | 4 Leadore Lane, Pomona, NY 10970 | 2014-02-13 |
| 1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
| 1366794323 | Shanice John | Counselor | 1 Marcia Ln, Pomona, NY 10970 | 2012-10-15 |
| 1023364817 | Eleanor Chalew Joseph | Registered Nurse | 50 Sanatorium Road Bldg. D, Robert L. Yeager Health Center, Pomona, NY 10970 | 2012-07-30 |
| 1689942153 | Kewanna D Frazier | Occupational Therapy Assistant | 229 Route 202, Apt. 3h, Pomona, NY 10970 | 2011-12-12 |
| 1134419823 | Carlos G. Lobo | Pediatrics | 27 S Camphill Road, Pomona, NY 10970 | 2011-04-14 |
| 1679804884 | Betina Turnier | Registered Nurse | 2 Valley Viw Court, Pomona, NY 10970 | 2010-01-28 |
| 1376792465 | Max F Rast | Surgery | 15 White Birch Drive, Pomona, NY 10970 | 2008-09-12 |
| Find all providers in zip 10970 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1043659519 | Jyotika Agochiya | Obstetrics & Gynecology | 974 Route 45 Suite 1000, Ramapo Valley Obgyn, Pomona, NY 10970 | 2013-06-18 |
| 1881947117 | David Dongwook Choi | Obstetrics & Gynecology | 1818 N. Orange Grove, #203, Pomona, CA 91767-3028 | 2012-10-24 |
| 1144513862 | Maria Siu | Obstetrics & Gynecology | 160 E Artesia St Ste 330, Pomona, CA 91767-2922 | 2011-05-27 |
| 1770710022 | Jesse X. Woo | Obstetrics & Gynecology | 1818 N Orange Grove Ave Ste 303, Pomona, CA 91767-3028 | 2009-06-14 |
| 1982787206 | Lincoln Heights Family and Industrial Medical Clinic | Obstetrics & Gynecology | 1501 E Holt Ave, Pomona, CA 91767-5823 | 2006-10-23 |
| 1366547192 | Stephanie Cropper | Obstetrics & Gynecology | 160 East Atesia, Pomona, CA 91767-2922 | 2006-09-14 |
| 1275638009 | Simmi P. Dhaliwal | Obstetrics & Gynecology | 160 East Artesia, Pomona, CA 91767-2922 | 2006-09-14 |
| 1457456287 | Frank Chiang | Obstetrics & Gynecology | 160 East Artesia Street, Suite 330, Pomona, CA 91767-2922 | 2006-09-14 |
| 1821004011 | Edward L Sung | Obstetrics & Gynecology | 72 Jim Leeds Rd, Stockton Medical Building, Pomona, NJ 08240-0836 | 2006-07-31 |
| Find all providers in POMONA | ||||
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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.