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ETHAN DEAN STAHL
NPI 1457098071
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since May 16, 2022PECOS Enrolled
234 E 149TH ST, BRONX, NY 10451(844) 692-4692 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Dean Stahl NPPES

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

ETHAN DEAN STAHL (NPI 1457098071) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457098071
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN DEAN STAHL
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address256 Henry St Apt 4Brooklyn, NY 11201-4653
Phone(844) 692-4692
Sole ProprietorYes
Enumeration DateMay 16, 2022
NPPES CertifiedMay 16, 2022
✔ NPI 1457098071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
234 E 149TH ST, Bronx, NY 10451
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Dean Stahl 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.

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. THOMAS HENRY PARRY M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6010
MAIRA FONSECA
Dermatology
234 E 149TH ST
BRONX, NY 10451
Bronx County (212) 639-3210
DR. RO GONSALVES M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JONATHAN V LI MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
ZULEYKA A GRULLON LCSW
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JOSHUA RONALD GRAVEL MD, MSC
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
REBEKAH SNITKOFF
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
MR. CARLOS ESTEBAN NARVAEZ MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000

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 Ethan Stahl's NPI number?

The NPI number for Ethan Stahl is 1457098071. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Ethan Stahl located?

Ethan Stahl practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (844) 692-4692.

What is Ethan Stahl's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Stahl enrolled in Medicare?

Yes. Ethan Stahl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Stahl was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.