Individual provider Active NPI

Stephen Kushner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pembroke Pines, FL
National Provider Identifier
1184695157
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0001947 Issued in FL
Practice address
10446 Taft St
Pembroke Pines, FL 33026-2819
Phone
(954) 316-0504
Fax
(954) 431-5003
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO0001947 FL Primary

Addresses

Primary practice location

10446 Taft St
Pembroke Pines, FL 33026-2819

Mailing address

4240 Galt Ocean Dr Apt 903
Ft Lauderdale, FL 33308-6182
Phone (954) 922-7333

Other names 1

  • Mr. Stephen Kushner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0001947FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Oct 15, 2020 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Oct 15, 2020 Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc Foot & Ankle Surgery PastSince Apr 15, 2021 Accepting new patients
Sports Medicine Associates of South Florida, P.a. PastSince Jul 1, 1998 Accepting new patients
Miimii Thae DPM, P.a PastSince Sep 1, 2024 Accepting new patients
Southernmost Foot and Ankle Specialists PA Foot & Ankle Surgery PastSince Oct 14, 1998 Accepting new patients

Locations

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

4750 N Federal Hwy
Ste 200
Ft Lauderdale, FL 33308
Phone (954) 561-3338

10446 Taft St
Pembroke Pines, FL 33026
Phone (954) 431-6050

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1184695157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 GALT OCEAN DR APT 903",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086182",
            "telephone_number": "954-922-7333",
            "fax_number": "954-922-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10446 TAFT ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262819",
            "telephone_number": "954-316-0504",
            "fax_number": "954-431-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0001947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "KUSHNER",
            "prefix": "MR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.