JOHN R STAFFORD JR. (NPI# 1699769760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699769760 |
| Entity Type | Individual |
| Full Name | JOHN R STAFFORD JR. |
| Credential | MD |
| Practice Address |
400 E Main St Northern Westchester Hospital 3rd Floor Mount Kisco NY 10549-3417 |
| Practice Telephone | 9146661272 |
| Practice Fax Number | 9146661002 |
| Mailing Telephone | 9146661272 |
| Mailing Fax Number | 9146661002 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
173853 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EMPIRE BC-BS | 1IJ241 | 01 | |
| AETNA-HMO | 0958352 | 01 | |
| CDPHP PIN & GRP # | 10098634-T818 | 01 | |
| OXFORD PIN# | WS408 | 01 | |
| GHI-HMO | 0000000032942 | 01 | |
| GHI-PPO | 2695234 | 01 | |
| MVP PROVIDER ID # | 376982 | 01 | |
| HEALTHNET PIN # | 5C4323 | 01 | |
| NY | 01141928 | 05 | |
| AETNA-PPO | 4340420 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346469616 | John Sullivan Stafford | General Practice | 4226 Warpath Ave, Santa Fe, TX 77510-8615 | 2007-04-25 |
| 1881741767 | John Michael Stafford | Internal Medicine | 7435 Mrb Iv, Vanderbilt University Medical Center, Nashville, TN 37232-0001 | 2007-01-04 |
| 1730182247 | John M. Stafford | Family Medicine | 3800 Hollywood Rd Ste 101, Royalton Medical Center, Saint Joseph, MI 49085-8511 | 2005-05-30 |
| 1942852785 | John Martin Stafford | Anesthesiologist Assistant | 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 | 2019-07-11 |
| 1932562402 | John Alan Stafford | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2016-04-01 |
| 1043694714 | John Stafford | Social Worker | 504 5th St, Ferrysburg, MI 49409-5119 | 2015-07-13 |
| 1801078365 | John A Stafford | Chiropractor | 1750 E 87th St, Chicago, IL 60617 | 2007-11-27 |
| 1760512586 | John D Stafford | Nurse Practitioner | 449 Main St, Oneonta, NY 13820-2028 | 2007-03-07 |
| 1992871040 | John E Stafford | Dentist | 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106 | 2006-11-28 |
| 1831292358 | John Wiley Stafford | General Practice | 207 Westmark Blvd, Lafayette, LA 70506-7365 | 2006-09-07 |
| Street Address |
400 E MAIN ST NORTHERN WESTCHESTER HOSPITAL 3RD FLOOR |
| City | MOUNT KISCO |
| State | NY |
| Zip Code | 10549-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051309 | Steven M Drexler | Anesthesiology | 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 | 2005-05-24 |
| 1902419377 | Max Abraham Bader | Anesthesiology | 400 E Main St, Mount Kisco, NY 10549-3477 | 2020-08-26 |
| 1194365304 | Daniel Payne | Nurse Anesthetist, Certified Registered | 400 E Main St, Mount Kisco, NY 10549-3417 | 2020-01-15 |
| 1407407463 | Linda Caffrey | Nurse Practitioner | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-09-21 |
| 1679133102 | Joann C Stafford | Physical Therapist | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-06-17 |
| 1568928885 | Vincent Patrick Vitale | Physician Assistant | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-02-11 |
| 1588120901 | Michael James Teta | Physician Assistant | 400 E Main St, Mount Kisco, NY 10549-3417 | 2019-02-11 |
| 1841789567 | Sarah Elaine Clark | Registered Nurse | 400 E Main St, Mount Kisco, NY 10549 | 2018-05-08 |
| 1124568530 | Daniil Pogosov | Pharmacist | 400 E Main St, Mount Kisco, NY 10549-3417 | 2017-03-03 |
| 1962958124 | Caryn Huneke | Dietitian, Registered | 400 E Main St, Nwh - Attn: Food & Nutrition Department, Mount Kisco, NY 10549-3417 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736618 | The Amerson Center, LLC | Day Training, Developmentally Disabled Services | 13 Timber Rdg, Mount Kisco, NY 10549 | 2018-07-10 |
| 1518496918 | Richard Mark Schnabel | Counselor | 116 Radio Circle, Mt Kisco, NY 10549 | 2017-06-08 |
| 1568997088 | Jodi Baretz | Social Worker | 4 Smith Ave, The Center for Health and Healing, Mt Kisco, NY 10549 | 2017-04-21 |
| 1598205205 | Tracey A Blum | Nurse Practitioner | 110 S. Bedford Road, Caremount Medical PC, Mt Kisco, NY 10549 | 2017-02-28 |
| 1083153936 | Marissa L Schwartz | Dentist | 359 E Main St Ste 2f, Mount Kisco, NY 10549 | 2017-02-13 |
| 1700249299 | Patricia Harte | Specialist | 15 Caren Court, Mount Kisco, NY 10549 | 2016-04-01 |
| 1154663458 | Nicola Ann Quatrano | Dermatology | 185 Kisco Ave Ste 300, Mount Kisco, NY 10549 | 2013-03-25 |
| 1053671503 | Harvey Joel Rosenberg | Internal Medicine | Caremount Medical, P.C., 90 South Bedford Road, Mount Kisco, NY 10549 | 2012-05-17 |
| 1427320597 | Raymond Koloski | Pediatrics | 200 Woodcrest Lane, Apt 226, Mt. Kisco, NY 10549 | 2012-02-03 |
| 1114232733 | Bedford Central School District | Local Education Agency (LEA) | 47 West Hyatt Avenue, Mount Kisco, NY 10549 | 2010-08-09 |
| Find all providers in zip 10549 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891038816 | Michelle Beth Levinson | Pediatrics | 400 E Main St, Mount Kisco, NY 10549-3417 | 2013-03-27 |
| 1578558003 | Francene M Gallousis | Pediatrics | 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 | 2005-09-12 |
| 1013901370 | Mazen T Khalifeh | Pediatrics | 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549-3417 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447893193 | Karen Lynn Marsh | Pediatrics | 64 Willow St, Guilderland, NY 12084-9778 | 2019-10-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1639697329 | Lily Michelle Barres | Pediatrics | 601 Elmwood Ave Box 651, Rochester, NY 14642-0001 | 2017-09-01 |
| 1093238339 | Maria Pygerou-kofinas | Pediatrics | 506 Sixth Street Kp4, Brooklyn, NY 11215 | 2017-07-19 |
| 1063893089 | Namirembe Joan Kazibwe | Pediatrics | 539, 85th Street, Apt 3f, Brooklyn, NY 11209 | 2015-06-16 |
| 1114339322 | Michelle Quan | Pediatrics | 388 Bridge St, Apt 11b, Brooklyn, NY 11201-5210 | 2014-05-21 |
| 1215347026 | Babina K Nayak | Pediatrics | 435 Avalon Gardens Dr Apt 435, Nanuet, NY 10954-7433 | 2014-05-01 |
| 1952728883 | Thomas Hays | Pediatrics | 41 Hausman St, Brooklyn, NY 11222 | 2014-03-28 |
| 1437597614 | Umesh Paudel | Pediatrics | 100 Woods Rd Pmb 605, Valhalla, NY 10595 | 2013-06-10 |
| 1144668484 | Irina Kaminyar | Pediatrics | 24023 68th Ave, Douglaston, NY 11362-1928 | 2013-06-09 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT KISCO |
| Zip Code | 10549 |
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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.