GRETCHEN PACHECO-STABILE DPM NPI 1205063948

NPI Information

  • NPI: 1205063948
  • Provider Name: GRETCHEN PACHECO-STABILE, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 82 MIDDLE COUNTRY RD
    ELSIE OWEN HEALTH CENTER - HRHCARE, INC.
    CORAM, NY
    ZIP 11727
  • Phone: (631) 320-2220

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NPI Details

Gretchen Pacheco-stabile, DPM is a podiatrist in Coram, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Gretchen Pacheco-stabile, DPM NPI is 1205063948. 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:

82 MIDDLE COUNTRY RD
ELSIE OWEN HEALTH CENTER - HRHCARE, INC.
CORAM, NY
ZIP 11727-411
Phone: (631) 320-2220
Fax: (631) 698-3570

The NPI 1205063948 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).

The enumeration date for this NPI number is 6/21/2009 and was last updated on 1/3/2014.

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
1213E00000XPodiatrist274346-109NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A400081417MEDICARE PINNEW YORK

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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