Active NPI
Stephen Lawrence Brenner, MD
- Specialist
- Tenafly, NJ
National Provider Identifier
1144306697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA03696900
- Practice address
- 30 Magnolia Ave
Tenafly, NJ 07670-2120 - Phone
- (201) 871-1907
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA03696900 | NJ | Primary |
Addresses
Primary practice location
30 Magnolia Ave
Tenafly, NJ 07670-2120
Mailing address
30 Magnolia Ave
Tenafly, NJ 07670-2120
Phone (201) 871-1907
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03696900 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144306697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MAGNOLIA AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702120",
"telephone_number": "201-871-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MAGNOLIA AVE",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076702120",
"telephone_number": "201-871-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "STEPHEN",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA03696900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tenafly, NJ
- Lucia Birkenfeld, D.M.D
- Carli Blau, LCSW
- Blue Iron Physio LLC
- Roberta Bornstein, PT - PEDIATRIC PHYSI
- Branch Physical Therapy & Wellness PC
- Brightview Tenafly, LLC (Brightview Tenafly)
- Maury Buchalter, MD
- Elizabeth Burtman, M.D.
- C.a.R.Y.N. Physical Therapy LLC (Seville Physical Therapy LLC)
- Cab LCSW P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.