Individual provider Active NPI

Stephen Asiedu, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1245548114
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
270635 Issued in NY
Practice address
1245B Edward Grant Highway
Bronx, NY 10452-3101
Phone
(917) 801-4410
Fax
(917) 801-4413
NPI assigned
Sep 14, 2010
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 270635 NY Primary

Addresses

Primary practice location

1245B Edward Grant Highway
Bronx, NY 10452-3101

Mailing address

66 Fisher Ave
Tuckahoe, NY 10707-2608
Phone (914) 207-4527

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
I20140324000658 NY Practitioner - Family PracticePractitioner - Internal Medicine 4688853922 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Statline Medical PCGroup PAC ID 7214333525, 10 clinicians

Practice addresses (Care Compare)

1409 Webster Ave
Bronx, NY 10456-1831
Phone (917) 444-1583

20 Wood CT
Tarrytown, NY 10591-3108
Phone (914) 215-4748

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Feb 23, 2021 Accepting new patients
Newburgh Physician Services PC CurrentSince Mar 13, 2020 Accepting new patients
Py Medical Services of Ny PLLC CurrentSince Sep 16, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Feb 23, 2021 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Dec 15, 2015 Accepting new patients
VR Physician for Vein Restoration Past Accepting new patients
Advanced Dermatology of New York PC PastSince May 2, 2024 Accepting new patients
Throgs Neck Operating Co LLC Past Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

300 Community Dr
Manhasset, NY 11030

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207

515 Main St
Olean, NY 14760
Phone (716) 373-2600

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-3080

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHFJCD/Endpoint/JHFJCD

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1245548114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FISHER AVE",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072608",
            "telephone_number": "914-207-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245B EDWARD GRANT HIGHWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523101",
            "telephone_number": "917-801-4410",
            "fax_number": "917-801-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIEDU",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "270635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.