Individual provider Active NPI

Stuart I. Finkel, MD

  • Gastroenterology Physician
  • Emerson, NJ
National Provider Identifier
1114925559
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
120476 Issued in NY
Practice address
20 Grand Blvd
Emerson, NJ 07630-1706
Phone
(917) 885-0633
Fax
(201) 261-4944
NPI assigned
Jul 11, 2005
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 120476 NY Primary

Addresses

Primary practice location

20 Grand Blvd
Emerson, NJ 07630-1706

Mailing address

20 Grand Blvd
Emerson, NJ 07630-1706
Phone (917) 885-0633

Other identifiers 1

IdentifierTypeStateIssuer
BCBS248APOtherNYEMPIRE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070301000021 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 0840392353

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1114925559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND BLVD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301706",
            "telephone_number": "917-885-0633",
            "fax_number": "201-261-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GRAND BLVD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301706",
            "telephone_number": "917-885-0633",
            "fax_number": "201-261-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKEL",
        "first_name": "STUART",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2024-01-24",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "120476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "BCBS248AP",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

Verify at the official NPI Registry.