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JOSEPH JOHN STAMBOULY M.D.
NPI 1427062561
Pediatrics - Pediatric Critical Care Medicine in Mineola, NY

Active since July 27, 2006PECOS Enrolled
259 1ST ST, MINEOLA, NY 11501(516) 663-2288(516) 663-8955 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Joseph John Stambouly M.d. NPPES

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

JOSEPH JOHN STAMBOULY M.D. (NPI 1427062561) is an individual pediatric critical care medicine provider in Mineola, New York, licensed in New York (181725) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427062561
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameJOSEPH JOHN STAMBOULYCredential: M.D.
Location Address259 1ST STMineola, NY 11501-3957
Mailing Address222 Station Plz N, Suite 611Mineola, NY 11501-3808 · (516) 663-2532 · Fax (516) 663-2233
Phone(516) 663-2288
Fax(516) 663-8955
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427062561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 181725
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
259 1ST ST, Mineola, NY 11501
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Other Identifiers 1

Medicaid01402377NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph John Stambouly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Stambouly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LINDSY MILLER M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 741-0570
GINA CARUCCI
Physician Assistant (Medical)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. CHRISTIAN GIGANTE MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-8794
CHRISTOPHER PETILLO
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
JOHN ANTHONY DINELLI MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
MANISHA SAKORE MD
Pediatrics (Neonatal-Perinatal Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-3853
DR. LAWRENCE SCHEINBERG M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. KIM ANN RUTHERFORD M.D.
Pediatrics (Pediatric Emergency Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (717) 531-8955

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 Joseph Stambouly's NPI number?

The NPI number for Joseph Stambouly is 1427062561. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Joseph Stambouly located?

Joseph Stambouly practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-2288.

What is Joseph Stambouly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Joseph Stambouly enrolled in Medicare?

Yes. Joseph Stambouly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Stambouly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Stambouly reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Stambouly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Stambouly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.