Individual provider Active NPI

Stephen F Konigsberg, M.D.

  • Vascular Surgery Physician
  • Highland Park, NJ
National Provider Identifier
1104891803
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MA23838 Issued in NJ
Practice address
31 River Rd
Highland Park, NJ 08904-1731
Phone
(732) 846-9500
Fax
(732) 846-3931
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA23838 NJ
Vascular Surgery Physician 2086S0129X MA23838 NJ Primary

Addresses

Primary practice location

31 River Rd
Highland Park, NJ 08904-1731

Mailing address

31 River Rd
Highland Park, NJ 08904-1731
Phone (732) 846-9500

Other identifiers 1

IdentifierTypeStateIssuer
0117609MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100324000482 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 8426193608 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA23838NJMDSurgery Physician

Organizations & group practices 1

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1104891803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RIVER RD",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041731",
            "telephone_number": "732-846-9500",
            "fax_number": "732-846-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 RIVER RD",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041731",
            "telephone_number": "732-846-9500",
            "fax_number": "732-846-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIGSBERG",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA23838",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "MA23838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.