STAT MEDICAL USA


Address: 1943 Vincent Ln, Syosset, NY 11791-9629
Phone: 5166501800

STAT MEDICAL USA (NPI# 1821341744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821341744
Entity Type Organization
Organization Name STAT MEDICAL USA
Practice Address 1943 Vincent Ln
Syosset
NY 11791-9629
Mailing Address 1111 Broadhollow Rd
Farmingdale
NY 11735-4820
Practice Telephone 5166501800
Mailing Telephone 5166501800
Enumeration Date 2012-10-16
Last Update Date 2012-10-16
Authorized Official Name DR. RONALD FAGAN (MEMBER)
Authorized Official Telephone 5166501800
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations STAT MEDICAL USA, PLLC 1111 Rt. 110, E. Farmingdale, Ny 11735

Office Location

Street Address 1943 VINCENT LN
City SYOSSET
State NY
Zip Code 11791-9629

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508491879 Marjorie Stein, M.d., PC Internal Medicine 30 Coach Lane, Muttontown, NY 11791 2020-03-07
1770118168 Naomi Krikheli Occupational Therapy Assistant Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 2020-03-06
1912482266 Angela Viviana Depompeis Student in an Organized Health Care Education/Training Program 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 2018-10-02
1063997104 Stephen William Tozer Specialist/Technologist 70 South Woods Road, Syosset, NY 11791 2018-09-25
1295214682 Cathy Lynn Singer Nurse Practitioner 575 Underhill Blvd Ste 210, Syosset, NY 11791 2018-08-07
1831628296 Amanticia Joseph Case Manager/Care Coordinator 40 Oak Drive, Syosset, NY 11791 2017-06-08
1528500758 James F Creamer Chiropractor 15 Beatrice Ave, Syosset, NY 11791 2016-11-04
1053868190 Diana Eileen Marlow Registered Nurse 1597 Laurel Hollow Road, Syosset, NY 11791 2016-09-07
1346796695 Emily Bregman Specialist 33 Picardy Lane, Laurel Hollow, NY 11791 2016-08-28
1962811364 Leslie Juarez Registered Nurse 7 Market Drive, Syosset, NY 11791 2014-08-11
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588129852 Steve Lazo Emergency Medicine 3210 Greenpoint Ave, Long Island City, NY 11101-2010 2019-01-31
1730667734 Lagrange Fire District Emergency Medicine 504 Freedom Plains Road, Poughkeepsie, NY 12603-2678 2018-08-01
1407217631 Debonotropepamdpc Emergency Medicine 24 Charter Ave, Dix Hills, NY 11746-6447 2016-03-16
1699013946 Medfirst Urgent Care Emergency Medicine 1751 Sheridan Dr, Tonawanda, NY 14223 2013-01-22
1356689855 Medfirst Urgent Care, Pllc Emergency Medicine 3190 Niagara Falls Blvd, Amherst, NY 14228-1639 2013-01-18
1104132190 Kildare Clarke Emergency Medicine 6 Hazelton Dr, White Plains, NY 10605-3805 2010-08-27
1659682219 Mark Kenneth Ellis Emergency Medicine 2 5th Ave Apt 2d, New York, NY 10011-8832 2010-06-29
1497076806 Jose Luis Romero Emergency Medicine 3636 Waldo Ave Apt 4n, Bronx, NY 10463-2256 2010-06-21
1619109121 Matthew J. Krauthamer Emergency Medicine 16 Capri Ct, Dix Hills, NY 11746-6410 2009-08-17
1447401310 Kael A Duprey Emergency Medicine 565 Plandome Rd # 104, Manhasset, NY 11030-1945 2008-10-09
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Competitor

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City SYOSSET
Zip Code 11791

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Dataset Information

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.

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