Individual provider Active NPI

Constance F Stewart, M.D.

  • Pediatric Endocrinology Physician
  • Rockville Centre, NY
National Provider Identifier
1003843137
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
137969 Issued in NY
Practice address
515 Hempstead Ave
Rockville Centre, NY 11570-1751
Phone
(516) 766-2199
Fax
(516) 764-0032
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 137969 NY Primary

Addresses

Primary practice location

515 Hempstead Ave
Rockville Centre, NY 11570-1751

Mailing address

515 Hempstead Ave
Rockville Centre, NY 11570-1751
Phone (516) 766-2199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707001543 NY Practitioner - Pediatric Medicine 2466430400 Reassigns benefits to 1 organization
Practice locations: Rockville Ctr, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137969NYMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2018 Accepting new patients
New York University CurrentSince Jan 1, 2018 Accepting new patients
Good Will Medical, P.C. Past Accepting new patients
Good Will Medical, P.C. Past Accepting new patients

Locations

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1003843137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HEMPSTEAD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701751",
            "telephone_number": "516-766-2199",
            "fax_number": "516-764-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HEMPSTEAD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701751",
            "telephone_number": "516-766-2199",
            "fax_number": "516-764-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CONSTANCE",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "137969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.