Active NPIIndividual provider

Judith Stavis, MD

Obstetrics & Gynecology in Pomona, New York

NPI Number1598791568
Practice location
26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553
Fax
845-362-5348
Last updated
February 6, 2015

Judith Stavis is an Obstetrics & Gynecology based in Pomona, NY. Judith Stavis practices in Pomona, NY and has the professional credentials of MD. The NPI Number for Judith Stavis is 1598791568 and holds a License No. 124478 (NY). The current practice location address for Judith Stavis is 26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553 and can be reached out via phone at 845-362-5900 and via fax at 845-362-5348.

Provider Profile Details

NPI Number
1598791568
Provider Name
Judith Stavis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553
Phone Number
845-362-5900
Fax Number
845-362-5348
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2006
Last Update Date
February 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Firemens Memorial Dr
Suite 120
Pomona, NY 10970-3553
City
Pomona
Zip
10970-3553
Phone Number
845-362-5900
Fax Number
845-362-5348
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
155 Crystal Run RD
Middletown, NY 10941-4028
City
Middletown
State
NY
Zip
10941-4028
Phone Number
845-703-6999
Fax Number
845-703-6297

License Information

License Number
124478
License State
NY
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Judith Stavis, MD?

The NPI number of Judith Stavis, MD is 1598791568. It was assigned on June 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Judith Stavis, MD?

Judith Stavis, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NY under license number 124478.

Where does Judith Stavis, MD practice?

The practice location is 26 Firemens Memorial Dr, Suite 120, Pomona, NY 10970-3553. The office can be reached at 845-362-5900 (phone) or 845-362-5348 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598791568 directly on the NPPES registry website.

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