Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205609963 Individual Practitioner Female Practitioner

Stacey Anne Elconin

Specialist • Somers, NY

Professional Overview & Biography Verified Profile Summary

Stacey Elconin is a registered healthcare professional specializing in Specialist in Somers, NY. Practice services are available at 79 MITCHELL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

79 Mitchell Rd

Somers, NY 105891801

Telephone 9142767654

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Somers, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Somers, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2023-11-03
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 580471941

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 Timeline

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

6 Historical Events
NPI Profile Active November 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2023

Registered at 79 MITCHELL RD, SOMERS, NY 105891801 (Tel: 9142767654)

📍
Updated Business Mailing Address November 03, 2023

Registered at 79 MITCHELL RD, SOMERS, NY 105891801 (Tel: 9142767654)

👤
Provider Name / Credentials Updated November 03, 2023

Recorded as STACEY ELCONIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2023

Specialist (License #580471941 in NY)

🟢
Initial NPI Registration & Enumeration November 03, 2023

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: 1205609963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2023
Last Update: November 03, 2023
Sole Proprietor: Yes

Mailing Address

79 Mitchell Rd

Somers, NY 105891801

Phone: 9142767654

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.