Maxine A Stephenson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

175475 Issued in NY

Practice address

208 Half Hollow Rd
Dix Hills, NY 11746

Phone

(631) 370-1700

NPI assigned

Feb 27, 2007

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1174659569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 CEDAR ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HALF HOLLOW RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-370-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "MAXINE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Stampfl
• Kirsten Stauder
• Judith E Stein, M.A., CCC-SLP
• Erin Christina Steinert
• John William Steinert, PT
• Steven F Macharola MD PLLC
• Venessa Lynn Stinvil, O.D.
• Eliza Lynn Stoehrer, MT-BC
• Lauren J Stone, M.S., CCC-SLP
• Kymberly Strauss, MA

• Family Medicine Physician in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.