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STEPHANE DANIEL BOUSKILA PA
NPI 1699085043
Physician Assistant in New York, NY

Active since October 19, 2010Opted out of Medicare · through Jul 1, 2028
515 MADISON AVENUE, SUITE #1102, NEW YORK, NY 10022(212) 729-9200(646) 365-3017 Get Directions Write a Review

NPPES record last updated: June 17, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Stephane Daniel Bouskila Pa NPPES

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

STEPHANE DANIEL BOUSKILA PA (NPI 1699085043) is an individual physician assistant in New York, New York, licensed in New York (23014325) and active in the NPI registry since October 2010. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699085043
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANE DANIEL BOUSKILACredential: PA
Location Address515 MADISON AVENUE, SUITE #1102New York, NY 10022
Mailing Address91 New Dorp LaneStaten Island, NY 10306 · (718) 351-1115 · Fax (646) 365-3017
Phone(212) 729-9200
Fax(646) 365-3017
Sole ProprietorYes
Enumeration DateOctober 19, 2010
Last NPPES UpdateJune 17, 2014
✔ NPI 1699085043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 23014325
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
515 MADISON AVENUE, New York, NY 10022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephane Daniel Bouskila Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2014 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2014
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 6

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

BELLA CHAYEVSKY D.D.S.
Dentist
515 MADISON AVENUE, SUITE 2308
NEW YORK, NY 10022
New York County (212) 889-8907
MANHATTAN ORTHROPAEDIC CARE
Specialist
515 MADISON AVENUE, SUITE 1102
NEW YORK, NY 10022
New York County (212) 729-9200
TODD SINETT DC PC
Chiropractor
515 MADISON AVENUE, SUITE 1906
NEW YORK, NY 10022
New York County (212) 752-6770
DR. ALLISON T MOSES DDS
Dentist (General Practice)
515 MADISON AVENUE, SUITE 3303
NEW YORK, NY 10022
New York County (212) 751-1333
DR. NICHOLAS J ROZBORSKI D.C.
Chiropractor
515 MADISON AVENUE, FLOOR 3
NEW YORK, NY 10022
New York County (212) 752-6774
DR. XIANG LONG LI DDS. MA. PC
Dentist (General Practice)
515 MADISON AVENUE, SUITE #1810
NEW YORK, NY 10022
New York County (212) 223-3005

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 Stephane Bouskila's NPI number?

The NPI number for Stephane Bouskila is 1699085043. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Stephane Bouskila located?

Stephane Bouskila practices at 515 Madison Avenue Suite #1102, New York, NY 10022. The listed phone number is (212) 729-9200.

What is Stephane Bouskila's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephane Bouskila enrolled in Medicare?

No. Stephane Bouskila has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephane Bouskila was last updated on June 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.