DR. MINDY BETH STATTER M.D. NPI 1952466799

NPI Information

  • NPI: 1952466799
  • Provider Name: DR. MINDY BETH STATTER, M.D.
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 EAST 210TH STREET
    THE CHILDREN'S HOSPITAL AT MONTEFIORE
    BRONX, NY
    ZIP 10467
  • Phone: (718) 920-7200

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NPI Details

DR. Mindy Beth Statter, M.D. is a pediatric surgery surgery in Bronx, NY. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Mindy Beth Statter, M.D. NPI is 1952466799. 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:

111 EAST 210TH STREET
THE CHILDREN'S HOSPITAL AT MONTEFIORE
BRONX, NY
ZIP 10467
Phone: (718) 920-7200
Fax: (718) 547-2929

The NPI 1952466799 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 12/22/2006 and was last updated on 5/6/2011.

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
12086S0120XSurgeryPediatric Surgery036069526ILLINOISNo
22086S0120XSurgeryPediatric Surgery260567NEW 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
1036069526MEDICAIDILLINOIS
2L91430MEDICARE ID-TYPE UNSPECIFIED

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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