Stephen M Sergay, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME35942 Issued in FL

Practice address

2919 W Swann Ave
Suite 401
Tampa, FL 33609-4038

Phone

(813) 872-1548

Fax

(813) 872-7509

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1164411971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116 WAY",
            "address_2": "SUITE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781175",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-872-1548",
            "fax_number": "813-872-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGAY",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME35942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039422000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Shore Wellness LLC
• Serenity Suites LLC
• Serenity Thoughts LLC
• Serenity Village Inc
• Amanda Brooke Sergay, MD
• Leslie Ann Serge
• Sergio J. Jacinto, M.D., P.a.
• Sergio M. Lopez, D.D.S.,P. L.L.C.
• C Christopher Sergio, CRNA
• Jacqueline Serino

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.