Individual provider Active NPI

Steven J Nierenberg, MD

  • Cardiovascular Disease Physician
  • Phila, PA
National Provider Identifier
1245215136
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD034592E Issued in PA
Practice address
2422 S Broad St
1St Floor
Phila, PA 19145-4418
Phone
(215) 389-0607
Fax
(215) 389-0604
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD034592E PA Primary

Addresses

Primary practice location

2422 S Broad St
1St Floor
Phila, PA 19145-4418

Mailing address

2422 S Broad St
1St Floor
Phila, PA 19145-4418
Phone (215) 389-0607

Other practice location 1

3 Crescent Dr Fl 4
Philadelphia, PA 19112-1016
Phone (215) 503-3191

Other identifiers 1

IdentifierTypeStateIssuer
0011272000011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100503000581 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1557398369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians

Practice addresses (Care Compare)

2422 S Broad St 2ND FL
Methodist Practice Plan
Philadlephia, PA 19145-4410
Phone (215) 952-9100

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034592EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Jan 1, 2014 Accepting new patients
Methodist Associates in Healthcare, Inc Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Aug 9, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc Cardiovascular Disease CurrentSince Aug 9, 2023 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

1101 Chestnut St
Fl 9
Philadelphia, PA 19107
Phone (215) 503-1807

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

2130 Spring Garden St
Philadelphia, PA 19130
Phone (215) 955-9555

3 Crescent Dr
Fl 4
Philadelphia, PA 19112
Phone (215) 503-3191

2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

2422 S Broad St
#1
Philadelphia, PA 19145
Phone (215) 389-0600

1015 Chestnut St
Ste 1400
Philadelphia, PA 19107
Phone (215) 955-2920

2422 S Broad St
#2
Philadelphia, PA 19145
Phone (215) 503-8455

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1245215136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 S BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191454418",
            "telephone_number": "215-389-0607",
            "fax_number": "215-389-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 S BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191454418",
            "telephone_number": "215-389-0607",
            "fax_number": "215-389-0604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Crescent Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191121016",
            "country_code": "US",
            "telephone_number": "215-503-3191",
            "fax_number": "215-503-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIERENBERG",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD034592E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011272000011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.