Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles B Stacy Jr., MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1457453375

Mr. Charles B Stacy Jr., MD is a Neurology in New York, New York. Graduated from Js Weill Medical College, Cornell University in 1977, 49 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
49
Trained at
Js Weill Medical College, Cornell University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5 E 98th St 7th Fl
New York, NY 10029-6501
Phone: (212) 241-0022
Fax: (212) 241-4350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 137377 (NY)

Record details

NPI number1457453375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESMay 22, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 1977 (49 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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