Stephen Evangelisti MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

173597-1 Issued in NY

Legal business name

STEPHEN EVANGELISTI MD

Practice address

1901 Lac de Ville Blvd Ste 2
Rochester, NY 14618-5660

Phone

(585) 325-1120

Fax

(585) 423-0471

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Evangelisti, MD

Title

Owner

Phone

(585) 325-1120

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1013416338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LAC DE VILLE BLVD STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185660",
            "telephone_number": "585-325-1120",
            "fax_number": "585-423-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LAC DE VILLE BLVD STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185660",
            "telephone_number": "585-325-1120",
            "fax_number": "585-423-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN EVANGELISTI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-325-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "173597-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01669589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyrsten M Stephany, AUD
• Matthew Scott Stephany
• Susan Margaret Stephany
• Stephen E Presser
• Stephen E Presser M.D. PC
• Stephen Haramis, LCSW, PLLC
• Stephen J Xenias, MD PC
• Stephen L. Kates, MD, PC
• Stephen R. Gaylord L.C.S.W. PLLC
• Melani Stephen, NP

• Plastic Surgery Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.