Steven Kenneth Libutti
Individual provider Active NPI Surgery Physician · West Harrison, NY
NPI 1164585329 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1164585329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 25MA10029900 (NJ)
- Practice address
- 89 Park Lane
West Harrison, NY 10604 - Phone
- (301) 768-8845
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.4 of 100
- Quality
- 70.64
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Rutgers Health - University Behavioral Health Care |
Hospital | Corporate Director | Jul 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170510001131 | NJ | Practitioner - Surgical Oncology | 5597822676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10029900 | NJ | MD | Surgery Physician |
| 188072 | NY | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Current |
Accepting new patients | |
| Rutgers Health-RWJ Primary Medicine Group | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current |
Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Past |
Accepting new patients |
Locations
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465
Interoperability endpoints
- slibutti17810@epicdirect.rwjbh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 188072 | NY | |
| Surgical Oncology Physician | 2086X0206X | 188072 | NY | |
| Surgery Physician | 208600000X | 25MA10029900 | NJ | Yes |
Addresses
Primary practice location
89 Park Lane
West Harrison, NY 10604
Mailing address
89 Park Lane
West Harrison, NY 10604
Phone (301) 768-8845
Other practice location 1
Walter Reed Army Medical Center
6900 Georgia Ave. NW
Washington, DC 20307-5001
Phone (202) 782-7341
Other providers in West Harrison, NY
- Jessica Larroy
- Chung-Han Lee
- Alyson Leffel
- Alexa Ryann Leib
- Michelle Minoux Lewis
- Lifetime Physical Therapy & Chiropractic PLLC
- Christina Lombardo
- Stacy M Lugo
- Waqas Malik
- John Maloney
All providers in West Harrison, NY · Surgery Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.