Stephanie Ida
Specialist • Patchogue, NY
20 Bailey Ave
Patchogue, NY 117723902
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
20 Bailey Ave
Patchogue, NY 117723902
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2023
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Patchogue and New York
30 active clinicians are listed under Specialist with a practice address in Patchogue, NY (22,717 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Patchogue
0% of these 30 clinicians have the CMS telehealth indicator.
6.7% of these 30 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-02-15NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History
NPI enumerated February 15, 2023.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2023 to August 2026.
NPI Administrative Meta
Mailing Address
20 Bailey Ave
Patchogue, NY 117723902
Phone: 6317904301