Individual provider Active NPI

Mitchell E Stein, M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1003890120
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD051488L Issued in PA
Practice address
333 E City Ave
2 Bala Plaza
Bala Cynwyd, PA 19004-1501
Phone
(610) 668-2777
Fax
(610) 668-1509
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD051488L PA
Ophthalmology Physician 207W00000X MD051488L PA Primary

Addresses

Primary practice location

333 E City Ave
2 Bala Plaza
Bala Cynwyd, PA 19004-1501

Mailing address

333 E City Ave
2 Bala Plaza
Bala Cynwyd, PA 19004-1501
Phone (610) 668-1192

Other identifiers 18

IdentifierTypeStateIssuer
180022095OtherPAMEDICARE ID TYPE UNSPECIFIED
501249OtherPAPA BLUE SHIELD
512352OtherPAAETNA HMO
A2279OtherPAMEDICARE ID TYPE UNSPECIFIED
0005377005OtherPAAETNA PPO
2227390OtherNJUNITED HEALTHCARE
0053224000OtherPAKEYSTONE HEALTH PLAN
045799OtherNJPA BLUE SHIELD
1029889OtherPAKEYSTONE MERCY HP
569045OtherNJAETNA HMO
0015305200001MedicaidPA
0132145000OtherNJAMERIHEALTH HMO
0706610000OtherNJKEYSTONE HEALTH PLAN
10240MD051488LOtherPAHEALTH PARTNERS
7064403MedicaidNJ
0132145000OtherNJKEYSTONE HEALTH PLAN
0683538000OtherPAKEYSTONE HEALTH PLAN
7900866OtherPACIGNA HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100813000583 PA Practitioner - Ophthalmology 5294869186 Reassigns benefits to 2 organizations
I20210930000319 DE Practitioner - Ophthalmology 5294869186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Advanced Eye CareGroup PAC ID 6103257738, 12 clinicians

Practice addresses (Care Compare)

360 Middletown Blvd
Suite 402
Langhorne, PA 19047-1863
Phone 30223919336283

5301 Limestone Rd
Suite 122
Wilmington, DE 19808-1251
Phone (302) 239-1933

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
96.68
Improvement activities
40
Cost
78.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD051488LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carty Eye Associates, LTD. Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Center for Advanced Eye Care Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients

Locations

5301 Limestone Rd
Ste 122
Wilmington, DE 19808
Phone (302) 485-0699

830 Old Lancaster Rd
Ste 100
Bryn Mawr, PA 19010
Phone (610) 527-0990

360 Middletown Blvd
Ste 402
Langhorne, PA 19047
Phone (215) 757-5200

1011 W Baltimore Pike
Ste 211
West Grove, PA 19390
Phone (610) 869-0200

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 2

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1003890120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE",
            "address_2": "2 BALA PLAZA",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-1192",
            "fax_number": "610-668-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CITY AVE",
            "address_2": "2 BALA PLAZA",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041501",
            "telephone_number": "610-668-2777",
            "fax_number": "610-668-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MITCHELL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD051488L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD051488L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "180022095",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "501249",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "512352",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "A2279",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0005377005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2227390",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0053224000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "045799",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HP",
            "identifier": "1029889",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "569045",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015305200001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0132145000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0706610000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "10240MD051488L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7064403",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0132145000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0683538000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "7900866",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.