Stewart G Eidelson MD PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

138890 Issued in NY

Legal business name

STEWART G EIDELSON MD PLLC

Practice address

911 Park Ave
New York, NY 10075-0385

Phone

(212) 288-7193

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Stewart G Eidelson, MD

Title

Owner

Phone

(561) 742-5959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1053829770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 107-109",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462162",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750385",
            "telephone_number": "212-288-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART G EIDELSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "EIDELSON",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-742-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "138890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Stevenson, MD
• Roslyn Roberta Stevenson
• Sara W Stevenson, NP
• Amelia Anne Steves, LMSW
• Kareese Steward, MS
• Stewart Medical Associates
• Jacqueline May Stewart-Hallett, NURSE PRACTITIONER
• Alvin F Stewart Jr., RN
• Bruce J Stewart, D.D.S.
• Callie Stewart

• Orthopaedic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.