STACEY LYNNE CANTOR-ADKINS, M.D. — NPI 1417282906 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine in NEW YORK, NY)

CMS-1500 Box 24J / 33a • NPI

1417282906

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2083P0901X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine

Box 32 Service Location & ZIP+4

430 EAST 86TH STREET, #8A, NEW YORK, NY, 10028-6436

✓ 9-Digit EDI 837 ZIP+4 (10028-6436)

Practice Phone & Referral Fax

(202) 997-0500

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1417282906 (STACEY LYNNE CANTOR-ADKINS, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1417282906` (NPI-1 Individual Practitioner)
Provider / Legal Name	STACEY LYNNE CANTOR-ADKINS, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine NUCC Code: `2083P0901X` (Preventive Medicine, Public Health & General Preventive Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	430 EAST 86TH STREET, #8A, NEW YORK, NY, 10028-6436
Practice Telephone / Fax	Tel: (202) 997-0500
Administrative Mailing Address	430 E 86TH ST, NEW YORK, NY, 10028-6441
Enumeration & Last Sync	Enumerated: 2009-10-16 \| CMS Record Updated: 2018-12-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

430 EAST 86TH STREET, #8A, NEW YORK, NY, 10028-6436

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Plain-English Taxonomy & CMS Crosswalk (2083P0901X)

What Does Taxonomy Code 2083P0901X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083P0901X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Public Health & General Preventive Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (STACEY LYNNE CANTOR-ADKINS, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: DC \| License: `MD34091` \| Primary: Secondary
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: PA \| License: `MD035961E` \| Primary: Secondary
`2083P0901X` — Preventive Medicine, Public Health & General Preventive Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine	State: NY \| License: `169551-1` \| Primary: Yes (Primary)
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: CA \| License: `G 68191` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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STACEY LYNNE CANTOR-ADKINS, M.D. (NPI #1417282906)