Stephen H Green MD Facs & Stanley K Klausner MD Facs LLP

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

099292 Issued in NY

Legal business name

STEPHEN H GREEN MD FACS & STANLEY K KLAUSNER MD FACS LLP

Practice address

285 Sills Rd
Building 2 Suite a
Patchogue, NY 11772

Phone

(631) 475-8846

Fax

(631) 475-8860

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Howell Green, MD

Title

Partner

Phone

(631) 475-8846

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164436770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 2 SUITE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-8846",
            "fax_number": "631-475-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 2 SUITE A",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-475-8846",
            "fax_number": "631-475-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN H GREEN MD FACS & STANLEY K KLAUSNER MD FACS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HOWELL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-475-8846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "099292",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "101835",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE DR K",
            "identifier": "101835",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE DR G",
            "identifier": "099292",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00169571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kathleen Stark, PA-C
• Tyler David Stauber, HHA
• Steele Grace Wellness, LLC
• Alyson Steele, DPT
• Gina Stenzel
• Stephen Rand MD
• Lara Stephens, PA-C
• Daniel Stern, DPT
• Steven B. Axt, DPM, P.C.
• Nancy Pol Stith, P.T.

• Surgery Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.