Active NPI
Jennifer Lauren Steckenrider, OD
- Optometrist
- Newburgh, NY
National Provider Identifier
1154986057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009131-01
- Practice address
- 1201 Ny-300
Newburgh, NY 12550 - Phone
- (845) 567-0068
- NPI assigned
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | TUV009131-01 | NY | Primary |
Addresses
Primary practice location
1201 Ny-300
Newburgh, NY 12550
Mailing address
176 Caesars LN
New Windsor, NY 12553-7741
Phone (765) 470-1439
Other practice location 1
620 N Main St
Blacksburg, VA 24060-3385
Phone (540) 605-9537
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lederman and Lederman LLP | Past | Accepting new patients | |
| Johnson Curran Optometry Centers PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Purchase, NY
- NPI 1437100682
-
- Optometrist
- Roanoke, VA
- NPI 1487750683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1154986057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 CAESARS LN",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125537741",
"telephone_number": "765-470-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NY-300",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-567-0068"
}
],
"practiceLocations": [
{
"address_1": "620 N Main St",
"address_purpose": "LOCATION",
"city": "Blacksburg",
"state": "VA",
"postal_code": "240603385",
"country_code": "US",
"telephone_number": "540-605-9537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STECKENRIDER",
"first_name": "JENNIFER",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009131-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.