| John R Stafford Jr, MD | |
|
400 E Main St, Northern Westchester Hospital 3rd Floor, Mount Kisco, NY 10549-3417 | |
| (914) 666-1272 | |
| (914) 666-1002 |
| Full Name | John R Stafford Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 400 E Main St, Mount Kisco, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699769760 | NPI | - | NPPES |
| 0958352 | Other | AETNA-HMO | |
| 5C4323 | Other | HEALTHNET PIN # | |
| 2695234 | Other | GHI-PPO | |
| 10098634-T818 | Other | CDPHP PIN & GRP # | |
| 0000000032942 | Other | GHI-HMO | |
| WS408 | Other | OXFORD PIN# | |
| 1IJ241 | Other | EMPIRE BC-BS | |
| 4340420 | Other | AETNA-PPO | |
| 01141928 | Medicaid | NY | |
| 376982 | Other | MVP PROVIDER ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 173853 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Stafford Jr, MD 400 E Main St, Northern Westchester Hospital 3rd Floor, Mount Kisco, NY 10549-3417 Ph: (914) 666-1272 | John R Stafford Jr, MD 400 E Main St, Northern Westchester Hospital 3rd Floor, Mount Kisco, NY 10549-3417 Ph: (914) 666-1272 |
Mazen T Khalifeh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E Main St, Northern Westchester Hospital, Mount Kisco, NY 10549 Phone: 914-666-1862 Fax: 914-666-1444 | |
Dr. Wendy Helaine Marx, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 666 Lexington Ave, Suite 206, Mount Kisco, NY 10549 Phone: 914-666-4742 Fax: 914-666-4850 | |
Dr. Georgina Leylegian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 666 Lexington Ave, Suite 206, Mount Kisco, NY 10549 Phone: 914-666-4742 Fax: 914-666-4850 | |
Elliot B Barsh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 S Bedford Rd, Care Mount Medical Pc, Mount Kisco, NY 10549 Phone: 914-241-1050 Fax: 914-242-1516 | |
Dr. David Crowe, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 666 Lexington Ave Ste 111, Mount Kisco, NY 10549 Phone: 914-960-0756 Fax: 914-864-1443 | |
Amelie Bottex, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 E Main St, Mount Kisco, NY 10549 Phone: 914-666-1200 | |
Aashay Vyas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E Main St, Mount Kisco, NY 10549 Phone: 914-666-1200 |