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DR. STACEY LYNNE CANTOR-ADKINS M.D.
NPI 1417282906
Preventive Medicine - Public Health & General Preventive Medicine in New York, NY

Active since October 16, 2009Opted out of Medicare · through Jan 29, 2027
430 EAST 86TH STREET, #8A, NEW YORK, NY 10028(202) 997-0500 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacey Lynne Cantor-adkins M.d. NPPES

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

DR. STACEY LYNNE CANTOR-ADKINS M.D. (NPI 1417282906) is an individual public health & general preventive medicine provider in New York, New York, licensed in New York (169551-1) and active in the NPI registry since October 2009. She has opted out of Medicare through January 29, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417282906
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameDR. STACEY LYNNE CANTOR-ADKINSCredential: M.D.
Location Address430 EAST 86TH STREET, #8ANew York, NY 10028-6436
Mailing Address430 E 86th St, #8aNew York, NY 10028-6441 · (202) 997-0500 · Fax (212) 452-0067
Phone(202) 997-0500
Sole ProprietorYes
Enumeration DateOctober 16, 2009
Last NPPES UpdateDecember 11, 2018
✔ NPI 1417282906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in NY · 169551-1
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD34091 (DC), MD035961E (PA), G 68191 (CA)
430 EAST 86TH STREET, New York, NY 10028
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Other Names 1

Professional Name (2)Dr. Stacey Lynne Cantor-adkins M.d.

Secondary Practice Locations 2

Location 1344 Grove Street #2, #4046Jersey City, NJ 07302-0730 · Phone (917) 525-5025
Location 227 Glen RdSandy Hook, CT 06482-1193 · Phone (917) 525-5025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stacey Lynne Cantor-adkins M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 29, 2019 through January 29, 2027.

Opt-Out Effective DateJanuary 29, 2019
Opt-Out In Effect ThroughJanuary 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MS. CAROL SPERO LCSW
Social Worker (Clinical)
430 EAST 86TH STREET, SUITE 1F
NEW YORK CITY, NY 10028
New York County (212) 746-3804

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 Stacey Cantor-adkins's NPI number?

The NPI number for Stacey Cantor-adkins is 1417282906. It was assigned to this individual provider in the NPPES registry on October 16, 2009. The provider is also known as Dr. Stacey Lynne Cantor-Adkins M.D..

Where is Stacey Cantor-adkins located?

Stacey Cantor-adkins practices at 430 East 86th Street #8a, New York, NY 10028. The listed phone number is (202) 997-0500.

What is Stacey Cantor-adkins's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Stacey Cantor-adkins enrolled in Medicare?

No. Stacey Cantor-adkins has opted out of Medicare through January 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stacey Cantor-adkins was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.