Organization Active NPI

Stephen M Mulrooney MD PC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1003951203
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
168802 Issued in NY
Legal business name
STEPHEN M MULROONEY MD PC
Practice address
31 Washington SQ W
Suite 5F
New York, NY 10011-9126
Phone
(212) 358-9123
Fax
(212) 358-1075
NPI assigned
Feb 21, 2007
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Stephen M Mulrooney, MD, FACGNPI 1700880168
Title
Owner
Phone
(212) 358-9123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 168802 NY
Gastroenterology Physician 207RG0100X 168802 NY Primary

Addresses

Primary practice location

31 Washington SQ W
Suite 5F
New York, NY 10011-9126

Mailing address

31 Washington SQ W
Suite 5F
New York, NY 10011-9126
Phone (212) 358-9123

National Provider Directory

National Provider Directory

Locations

31 Washington Sq W
Apt 5F
New York, NY 10011
Phone (212) 358-9123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1003951203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WASHINGTON SQ W",
            "address_2": "SUITE 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119126",
            "telephone_number": "212-358-9123",
            "fax_number": "212-358-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WASHINGTON SQ W",
            "address_2": "SUITE 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119126",
            "telephone_number": "212-358-9123",
            "fax_number": "212-358-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M MULROONEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "MULROONEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-358-9123",
        "authorized_official_credential": "MD, FACG"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168802",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "168802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.