Active NPI
Mark Mitchell Stempler, D.P.M.
- Podiatrist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00374200
- Practice address
- 2627D Hylan Blvd
Staten Island, NY 10306-4339 - Phone
- (718) 667-6333
- Fax
- (718) 667-6466
- NPI assigned
- Jul 8, 2005
- Reactivated
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004914 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | N004914 | NY | |
| Podiatrist | 213E00000X | 25MD00374200 | NJ | Primary |
Addresses
Primary practice location
2627D Hylan Blvd
Staten Island, NY 10306-4339
Mailing address
2627D Hylan Blvd
Staten Island, NY 10306-4339
Phone (718) 667-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01284151 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144
1771 Madison Ave
Lakewood, NJ 08701-1251
Hospital & facility affiliations
- Monmouth Medical Center-Southern Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 77 |
| Removal or shaving of skin growth | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004914 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients | |
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients |
Locations
1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144
Interoperability endpoints
- mark.stempler@chemed.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
-
- Federally Qualified Health Center (FQHC)
- Jackson, NJ
- NPI 1124844816
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, NJ
- NPI 1225133473
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1255339776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627D HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103064339",
"telephone_number": "718-667-6333",
"fax_number": "718-667-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627D HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103064339",
"telephone_number": "718-667-6333",
"fax_number": "718-667-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMPLER",
"first_name": "MARK",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004914",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N004914",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00374200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01284151",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.