Active NPI
Alan Michael Stephens, D.O.
- Surgery Physician
- North Bergen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3539
- Practice address
- 7600 River Rd
North Bergen, NJ 07047-6217 - Phone
- (201) 710-2753
- Fax
- (201) 758-2470
- NPI assigned
- Jun 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3539 | WV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
7600 River Rd
North Bergen, NJ 07047-6217
Mailing address
350 Shaler Blvd FL 2
Ridgefield, NJ 07657-2500
Phone (702) 839-8786
Other practice location 1
100 Pin Oak Ln Ste 3
Keyser, WV 26726-5908
Phone (304) 597-3790
Other practice location 2
100 Pin Oak Ln
Keyser, WV 26726-5908
Phone (304) 597-3500
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | astephens157097@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | astephens157097@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | astephens157097@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Potomac Valley Hospital of W VA , Inc
Practice addresses (Care Compare)
100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3539 | WV | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Potomac Valley Hospital of WV, Inc. | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Surgery | Current | Accepting new patients |
| Potomac Valley Hospital of W VA, Inc | Past | Accepting new patients |
Locations
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790
Interoperability endpoints
- astephens157097@direct.wvuhsdirect.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Keyser, WV
- NPI 1316054919
Surgery
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- Internal Medicine Physician
- Keyser, WV
- NPI 1578305256
-
dba Elk Garden Rural Health Clinic
- Rural Health Clinic/Center
- Elk Garden, WV
- NPI 1760499016
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1144602665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SHALER BLVD FL 2",
"city": "RIDGEFIELD",
"state": "NJ",
"postal_code": "076572500",
"telephone_number": "702-839-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 RIVER RD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070476217",
"telephone_number": "201-710-2753",
"fax_number": "201-758-2470"
}
],
"practiceLocations": [
{
"address_1": "100 Pin Oak Ln Ste 3",
"address_purpose": "LOCATION",
"city": "Keyser",
"state": "WV",
"postal_code": "267265908",
"country_code": "US",
"telephone_number": "304-597-3790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Pin Oak Ln",
"address_purpose": "LOCATION",
"city": "Keyser",
"state": "WV",
"postal_code": "267265908",
"country_code": "US",
"telephone_number": "304-597-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "ALAN",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-20",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "3539",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astephens157097@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Pin Oak Ln",
"city": "Keyser",
"state": "WV",
"country_code": "US",
"postal_code": "267265908",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astephens157097@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Pin Oak Ln",
"city": "Keyser",
"state": "WV",
"country_code": "US",
"postal_code": "267265908",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astephens157097@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Pin Oak Ln",
"city": "Keyser",
"state": "WV",
"country_code": "US",
"postal_code": "267265908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.