Individual provider Active NPI

Stephen Digiovanni, MD

  • Specialist
  • New York, NY
National Provider Identifier
1205864683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
144872 Issued in NY
Practice address
202 E 70TH St
New York, NY 10021-5405
Phone
(917) 548-8975
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 144872 NY Primary

Addresses

Primary practice location

202 E 70TH St
New York, NY 10021-5405

Mailing address

954 Lexington Ave
295
New York, NY 10021-5055
Phone (917) 548-8975

Other identifiers 1

IdentifierTypeStateIssuer
22-2469065OtherNYTAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031219000688 NY Practitioner - Anesthesiology 4880592567 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 E 65TH St
New York, NY 10065-6701
Phone (212) 223-0996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144872NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Hill Ambulataory Anesthesiology Services of New York, P.C. Current Accepting new patients
D&H Nyc Medical Service, PC Current Accepting new patients
Lenox Hill Medical Anesthesiology, PLLC Specialist Past Accepting new patients

Locations

202 E 70th St
New York, NY 10021
Phone (212) 879-1405

954 Lexington Ave
New York, NY 10021
Phone (212) 879-1705

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205864683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 LEXINGTON AVE",
            "address_2": "295",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215055",
            "telephone_number": "917-548-8975",
            "fax_number": "212-724-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215405",
            "telephone_number": "917-548-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "144872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "22-2469065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.