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

Mrs. Stacy Lee Anderson, MD

Individual provider Internal Medicine Physician · NPI 1619210648

Mrs. Stacy Lee Anderson, MD is a Family Practice in New York, New York. Graduated from Oregon Health Sciences University School of Medicine in 2013, 13 years ago. Practices with Memorial Medical Consultation Group, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
NY
In the registry since
2013
Specialties on file
2
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

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 505 E 70th St, New York, NY 10021-4872 — (212) 746-2917

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 283301 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619210648
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2013
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Memorial Medical Consultation Group — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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