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

Stephanie Spano, MD

Individual provider Diagnostic Radiology Physician · NPI 1538515523

Stephanie Spano, MD is an Interventional Radiology in Bronx, New York. Graduated from State University of New York Downstate Medical Center in 2012, 14 years ago. Practices with Staten Island Medical of New York, LLC, a 2-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Indiana, Maine, New Hampshire and New York.

Years since qualifying
14
Trained at
State University of New York Downstate Medical Center
Licensed in
IN, ME, NH, NY
In the registry since
2016
Specialties on file
4
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

11 E Fordham Rd
Bronx, NY 10468-5406
Phone: (855) 615-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1100 Reid Pkwy, Richmond, IN 47374-1157 — (765) 983-3264
  • 489 State St, Bangor, ME 04401-6616 — (207) 662-4735
  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 662-4735
  • 314 W 23rd St, New York, NY 10011-2201 — (855) 615-2555
  • 1974 1st Ave, New York, NY 10029-6430 — (855) 615-2555

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 313960 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01097076A (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35184 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD29528 (ME)

Record details

NPI number1538515523
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2016
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1775 York Ave Apt 5h, New York, NY 10128-6906

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2012 (14 years in practice)
Group practice Staten Island Medical Of New York, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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