Alan Stofenberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NY3501 Issued in NY

Practice address

881 Broadway Mall
Hicksville, NY 11801-2712

Phone

(516) 938-6006

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Annette Optical Inc

  • Eyewear Supplier
  • Hicksville, NY
  • NPI 1437222585
  NPD
• Teragram I, Inc.

  • Optometrist
  • Hicksville, NY
  • NPI 1184946956
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1114079753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ABBOT RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872322",
            "telephone_number": "631-979-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 BROADWAY MALL",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012712",
            "telephone_number": "516-938-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFENBERG",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00338725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dena Stern
• Howard Michael Stern, J.D.
• Lloyd Anthony Steven
• Janiece Stewart
• Lauryn Stillman
• Cynthia A Strauch, R.N
• Pamela A Streb, LCSW
• Strength Works LLC
• Strive Applied Behavior Analysis PLLC
• Dana Strohschein

• Optometrist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.