STEFANIE M PARKER PA
NPI 1689104655
Physician Assistant - Medical in New York, NY

Active since June 13, 2017
3143 BROADWAY APT 1C, NEW YORK, NY 10027(912) 398-8777 Get Directions Write a Review

NPPES record last updated: February 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2019, Jan 8, 2019, Jun 13, 2017 (3 updates tracked since 2017).

About Stefanie M Parker Pa NPPES

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

STEFANIE M PARKER PA (NPI 1689104655) is an individual medical provider in New York, New York, licensed in New York (022842) and active in the NPI registry since June 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689104655
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTEFANIE M PARKERCredential: PA
Location Address3143 BROADWAY APT 1CNew York, NY 10027-4107
Mailing Address7901 BroadwayElmhurst, NY 11373-1329 · (718) 334-4000
Sole ProprietorNo
Enumeration DateJune 13, 2017
Last NPPES UpdateFebruary 2, 20193 updates tracked since enumeration
NPI 1689104655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 022842
Also ListedPhysician AssistantTaxonomy 363A00000X · License 022842 (NY)
3143 BROADWAY APT 1C, New York, NY 10027

Secondary Practice Locations 2

Location 1512 S Main St Ste AHinesville, GA 31313-4344 · Phone (912) 369-5437 · Fax (912) 369-5740
Location 27901 BroadwayElmhurst, NY 11373-1329 · Phone (718) 334-4000

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 Stefanie Parker's NPI number?

The NPI number for Stefanie Parker is 1689104655. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Stefanie Parker located?

Stefanie Parker practices at 3143 Broadway Apt 1C, New York, NY 10027. The listed phone number is (912) 398-8777.

What is Stefanie Parker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Stefanie Parker was last updated on February 2, 2019. 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.