Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851459820 Individual Practitioner Female Practitioner

Stacy Lynn Entin , PHYSICIAN ASST

Physician Assistant • Massapequa, NY

Professional Overview & Biography Verified Profile Summary

Stacy Entin, PHYSICIAN ASST is a registered healthcare professional specializing in Physician Assistant in Massapequa, NY. Practice services are available at 79 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

79 Grand Ave

Massapequa, NY 11758

Telephone 5167983376
Fax 5167985882

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Massapequa, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Massapequa, NY (15701 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 009989-1

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.

Obstetrics & Gynecology - Gynecology

NUCC Taxonomy Code: 207VG0400X

State License NY 009989-01

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Elena Sanchez , LMFT

Marriage & Family Therapist

NPI 1144431628

Licensed Marriage and Family Therapist

Dr. Irwin Goldstein , MD

Obstetrics & Gynecology

NPI 1366528127

Doctor of Medicine (M.D.)

Diane Lucks , MIDWIFE

Advanced Practice Midwife

NPI 1457435224
Susan Mitchell , PA

Physician Assistant - Medical

NPI 1508281866

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2015

Registered at 79 GRAND AVE, MASSAPEQUA, NY 11758 (Tel: 5167983376)

📍
Updated Business Mailing Address October 16, 2015

Registered at 203 CANDEE AVE, SAYVILLE, NY 117823059 (Tel: 6317505575)

👤
Provider Name / Credentials Updated October 16, 2015

Recorded as STACY ENTIN, PHYSICIAN ASST.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2015

Obstetrics & Gynecology (License #009989-01 in NY)

🟢
Initial NPI Registration & Enumeration December 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851459820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: October 16, 2015
Sole Proprietor: Yes

Mailing Address

203 Candee Ave

Sayville, NY 117823059

Phone: 6317505575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.