DR. WANIDA STOUTENBURG DPM
NPI 1447316021
Podiatrist in Tillson, NY

Q: What is Wanida Stoutenburg's NPI number?

The NPI number for Wanida Stoutenburg is 1447316021. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Wanida Stoutenburg's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since December 28, 2006

65 BLOOMINGDALE RD, TILLSON, NY 12486(845) 658-8415 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Wanida Stoutenburg Dpm NPPES

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

DR. WANIDA STOUTENBURG DPM (NPI 1447316021) is an individual podiatrist in Tillson, New York, licensed in New York (N005408) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1447316021

Entity TypeIndividualFemale

Primary Taxonomy213E00000X

Provider Legal NameDR. WANIDA STOUTENBURGCredential: DPM

Location Address65 BLOOMINGDALE RDTillson, NY 12486-1307

Mailing Address65 Bloomingdale RdTillson, NY 12486-1307 · (845) 658-8415

Phone(845) 658-8415

Sole ProprietorYes

Enumeration DateDecember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1447316021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in NY · N005408

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

65 BLOOMINGDALE RD, Tillson, NY 12486

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Other Identifiers 2

Medicare ID-Type UnspecifiedP00751NY · Empire Medicare Provider

Medicaid01779322NY

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 Wanida Stoutenburg's NPI number?

The NPI number for Wanida Stoutenburg is 1447316021. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Wanida Stoutenburg located?

Wanida Stoutenburg practices at 65 Bloomingdale Rd, Tillson, NY 12486. The listed phone number is (845) 658-8415.

What is Wanida Stoutenburg's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Wanida Stoutenburg 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.