Healthcare Provider Details

I. General information

NPI: 1346156270
Provider Name (Legal Business Name): HAPPY MONKEY PEDIATRIC MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10933 71ST RD APT 9C
FOREST HILLS NY
11375-4819
US

IV. Provider business mailing address

10933 71ST RD APT 9C
FOREST HILLS NY
11375-4819
US

V. Phone/Fax

Practice location:
  • Phone: 718-930-6616
  • Fax:
Mailing address:
  • Phone: 718-930-6616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: STEFANIE KAGAN
Title or Position: PHYSICIAN
Credential: DO
Phone: 718-930-6616