Individual provider Active NPI

Stephen B Mesick, M.D.

  • Emergency Medicine Physician
  • Hudson, NY
National Provider Identifier
1205933181
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
179014 Issued in NY
Practice address
71 Prospect Ave
Hudson, NY 12534-2907
Phone
(518) 828-7601
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 179014 NY Primary

Addresses

Primary practice location

71 Prospect Ave
Hudson, NY 12534-2907

Mailing address

3 Century Dr Ste 23
Parsippany, NJ 07054-4610
Phone (973) 740-0607

Other identifiers 1

IdentifierTypeStateIssuer
01155715MedicaidNY

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
I20040325000013 NY Practitioner - Emergency Medicine 0042102253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179014NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Albany Medical College Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Emergency Medicine CurrentSince Nov 6, 2023 Accepting new patients
Albany Medical College Emergency Medicine Current Accepting new patients
Adirondack Emergency Medicine, PC Emergency Medicine Past Accepting new patients
Columbia Emergency Services, PC Emergency Medicine Past Accepting new patients
Utica Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

365 Broadway
Kingston, NY 12401
Phone (845) 331-5165

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Interoperability endpoints

  • Direct secure messaging: smesick27300@albanymed.direct-ci.com

Organizations & group practices 8

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1205933181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTURY DR STE 23",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544610",
            "telephone_number": "973-740-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342907",
            "telephone_number": "518-828-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESICK",
        "first_name": "STEPHEN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "179014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.