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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHANIE PANTELIDIS
NPI 1649152935
Nurse Practitioner - Family in New York, NY

Active since July 25, 2025PECOS EnrolledAccepts Medicare Assignment
530 E 74TH ST, NEW YORK, NY 10021(848) 225-6330 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Aug 4, 2026 (2 updates tracked since 2026).

About Stephanie Pantelidis NPPES

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

STEPHANIE PANTELIDIS (NPI 1649152935) is an individual family provider in New York, New York, licensed in New York (357492) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2025).

NPPES Registry Identity

NPI1649152935
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE PANTELIDIS
Location Address530 E 74TH STNew York, NY 10021-3459
Mailing Address1 Research RdRidge, NY 11961-2701
Phone(848) 225-6330
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2025
Enumeration DateJuly 25, 2025
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1649152935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 357492
530 E 74TH ST, New York, NY 10021
Open in Google Maps ↗

Secondary Practice Location 1

Location 11275 York AveNew York, NY 10065-6007 · Phone (212) 639-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Pantelidis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507352465
PECOS Enrollment IDI20251230001872
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 Stephanie Pantelidis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore Hematology Oncology Associates PC
48 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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 20

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

DR. YANLI LI PHARMD
Pharmacist
530 E 74TH ST
NEW YORK, NY 10021
New York County (347) 798-9663
MS. JOHANNA TAPPEN LCSW
Social Worker (Clinical)
530 E 74TH ST
NEW YORK, NY 10021
New York County (646) 608-3497
ANNA-LENA MEINHARDT MD
Student in an Organized Health Care Education/Training Program
530 E 74TH ST
NEW YORK, NY 10021
New York County (347) 798-9663
ALLEGRA DACOSTA-WALD
Clinical Nurse Specialist (Adult Health)
530 E 74TH ST
NEW YORK, NY 10021
New York County (917) 477-9594
JESSICA STUART ROSS
Internal Medicine (Medical Oncology)
530 E 74TH ST
NEW YORK, NY 10021
New York County (347) 798-9663
DANIELLE CASSEL PA-C
Physician Assistant
530 E 74TH ST
NEW YORK, NY 10021
New York County (212) 639-2000
DR. EFRAT LUTTWAK MD, MPH
Internal Medicine
530 E 74TH ST
NEW YORK, NY 10021
New York County (347) 883-5266
DR. CHRISTINE LIN LIAW PHARM.D
Pharmacist
530 E 74TH ST
NEW YORK, NY 10021
New York County (646) 608-1725

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 Stephanie Pantelidis's NPI number?

The NPI number for Stephanie Pantelidis is 1649152935. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Stephanie Pantelidis located?

Stephanie Pantelidis practices at 530 E 74th St, New York, NY 10021. The listed phone number is (848) 225-6330.

What is Stephanie Pantelidis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Pantelidis enrolled in Medicare?

Yes. Stephanie Pantelidis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephanie Pantelidis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Pantelidis reassigns Medicare benefits to North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). 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 Stephanie Pantelidis'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 Stephanie Pantelidis was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.