MICHELLE STEWART PA-C NPI 1003225194

NPI Information

  • NPI: 1003225194
  • Provider Name: MICHELLE STEWART, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 NORTHERN BLVD
    SUITE 300
    GREAT NECK, NY
    ZIP 11021
  • Phone: (516) 627-8717

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NPI Details

Michelle Stewart, PA-C is a surgical physician assistant in Great Neck, NY with 12 years of experience. Michelle Stewart, PA-C NPI is 1003225194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 NORTHERN BLVD
SUITE 300
GREAT NECK, NY
ZIP 11021-206
Phone: (516) 627-8717

The NPI 1003225194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2014 and was last updated on 8/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical017815NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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