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NPI 1780920041ActiveOrganization· Exclusive Provider Organization· New York, NY
Exclusive Provider Organization in New York, New York, registered in NPPES in December 2012. The authorized official on file is Joseph Stamm, Ceo.
Overview
| NPI | 1780920041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2012 |
| Last updated in NPPES | Dec 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 153374 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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