Active NPI
William John Stein, MD
- Internal Medicine Physician
- Melbourne, FL
National Provider Identifier
1205868437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 99179
- Practice address
- 2012 Vernon Place South
Melbourne, FL 32901 - Phone
- (321) 951-9300
- Fax
- (321) 951-9320
- NPI assigned
- Jul 7, 2006
- Last updated
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 091665 | NY | |
| Internal Medicine Physician | 207R00000X | 99179 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 091665-1 | NY |
Addresses
Primary practice location
2012 Vernon Place South
Melbourne, FL 32901
Mailing address
2065 Highway A1A
Unit 1501
Indian Harbour Beach, FL 32937
Phone (321) 777-2521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99179 | FL | MD | Internal Medicine Physician |
| 091665 | NY | MD | Internal Medicine Physician |
| 091665-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Medical Group | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1205868437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 HIGHWAY A1A",
"address_2": "UNIT 1501",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "32937",
"telephone_number": "321-777-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 VERNON PLACE SOUTH",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-951-9300",
"fax_number": "321-951-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "091665",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "99179",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "091665-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.