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RACHAEL MARY STACOM ANP
NPI 1184893497
Nurse Practitioner - Adult Health in Bronx, NY

Active since February 21, 2008
1770 GRAND CONCOURSE, SUITE 2G, BRONX, NY 10457(718) 393-7617 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rachael Mary Stacom Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHAEL MARY STACOM ANP (NPI 1184893497) is an individual adult health provider in Bronx, New York, licensed in New York (304736) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1184893497
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameRACHAEL MARY STACOMCredential: ANP
Location Address1770 GRAND CONCOURSE, SUITE 2GBronx, NY 10457-5524
Mailing Address37 E 83rd St, Apt 1New York, NY 10028-0813 · (212) 744-6731 · Fax (212) 995-5016
Phone(718) 393-7617
Sole ProprietorYes
Enumeration DateFebruary 21, 2008
✔ NPI 1184893497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 304736
1770 GRAND CONCOURSE, Bronx, NY 10457
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOIRE BOGUI DMD
Dentist (General Practice)
1770 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 901-8110
DR. RAINA C. LEE DDS
Dentist (General Practice)
1770 GRAND CONCOURSE, 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. PAUL GATES DDS
Dentist (Oral and Maxillofacial Surgery)
1770 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 901-8110
DR. MITCHELL JUDD SAREMBOCK DDS
Student in an Organized Health Care Education/Training Program
1770 GRAND CONCOURSE, STE 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. REEM HEMANTHARAJU DDS
Dentist (General Practice)
1770 GRAND CONCOURSE, 2F
BRONX, NY 10457
Bronx County (718) 901-8110
DR. GILDA DIAZ-FUENTES MD
Internal Medicine (Pulmonary Disease)
1770 GRAND CONCOURSE, 2G
BRONX, NY 10457
Bronx County (718) 518-5581
DR. OLIVER SULLIVAN DMD
Dentist (General Practice)
1770 GRAND CONCOURSE, STE 2F
BRONX, NY 10457
Bronx County (718) 901-8110
ERNST, SY AND MENON
Specialist
1770 GRAND CONCOURSE, #2G
BRONX, NY 10457
Bronx County (718) 518-5581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachael Stacom's NPI number?

The NPI number for Rachael Stacom is 1184893497. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Rachael Stacom located?

Rachael Stacom practices at 1770 Grand Concourse Suite 2G, Bronx, NY 10457. The listed phone number is (718) 393-7617.

What is Rachael Stacom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Rachael Stacom was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.