NPIMap

Organization Active NPI

Stephen J Nicholas MD PC

Doing business as Ny Orthopedics

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1124462627
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
172648 Issued in NY
Legal business name
STEPHEN J NICHOLAS MD PC
Doing business as
Ny Orthopedics
Practice address
159 E 74TH St
New York, NY 10021-3235
Phone
(212) 737-3301
Fax
(212) 734-0407
NPI assigned
Apr 26, 2013
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Stephen J Nicholas, MDNPI 1528053550
Title
President
Phone
(212) 737-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 172648 NY Primary

Addresses

Primary practice location

159 E 74TH St
New York, NY 10021-3235

Mailing address

159 E 74TH St FL 2
New York, NY 10021-3309
Phone (212) 737-3301

Other names 1

  • NY ORTHOPEDICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130815000238 NY DME Supplier - Physician - General Practice 0446264931 1 other NPI on this enrollment
Practice locations: New York, NY

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Michael G Browne6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 E 77th St
Fl 5
New York, NY 10075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1124462627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213309",
            "telephone_number": "212-737-3301",
            "fax_number": "212-734-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213235",
            "telephone_number": "212-737-3301",
            "fax_number": "212-734-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J NICHOLAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-737-3301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "172648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY ORTHOPEDICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NY ORTHOPEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.