Individual provider Active NPI

Stephen Koster Hoverman, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Warwick, NY
National Provider Identifier
1104926849
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
145941 Issued in NY
Practice address
5 Grand St
Warwick, NY 10990-0677
Phone
(845) 986-7885
Fax
(845) 986-7496
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 145941 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 145941 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 145941 NY

Addresses

Primary practice location

5 Grand St
Warwick, NY 10990-0677

Mailing address

21 Crystal Farm Rd
Warwick, NY 10990-2864
Phone (845) 986-5279

Other identifiers 1

IdentifierTypeStateIssuer
00595271MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warwick Medical Associates LLP Internal Medicine Current Accepting new patients

Locations

5 Grand St
Warwick, NY 10990
Phone (845) 986-7885

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104926849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CRYSTAL FARM RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902864",
            "telephone_number": "845-986-5279",
            "fax_number": "845-986-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRAND ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109900677",
            "telephone_number": "845-986-7885",
            "fax_number": "845-986-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVERMAN",
        "first_name": "STEPHEN",
        "middle_name": "KOSTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "145941",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "145941",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "145941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00595271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.