Active NPI
Stephen Massimi MD PC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 255564
- Legal business name
- STEPHEN MASSIMI MD PC
- Practice address
- 1 Blachley Rd
Stamford, CT 06902-0002 - Phone
- (203) 705-2350
- Fax
- (203) 705-2924
- NPI assigned
- Apr 22, 2016
- Last updated
- Nov 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Joseph Massimi, M.D.
- Title
- Medical Doctor / Business Owner
- Phone
- (203) 705-2350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 255564 | NY | Primary |
Addresses
Primary practice location
1 Blachley Rd
Stamford, CT 06902-0002
Mailing address
PO Box 626
Great River, NY 11739-0626
Phone (203) 705-2350
Other practice location 1
535 E 70th St
New York, NY 10021-4823
Phone (203) 705-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831331388 | Other | CT | NPI |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/13699/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Stamford, CT
- NPI 1831331388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1255785556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 626",
"city": "GREAT RIVER",
"state": "NY",
"postal_code": "117390626",
"telephone_number": "203-705-2350",
"fax_number": "203-705-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BLACHLEY RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069020002",
"telephone_number": "203-705-2350",
"fax_number": "203-705-2924"
}
],
"practiceLocations": [
{
"address_1": "535 E 70th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100214823",
"country_code": "US",
"telephone_number": "203-705-2350",
"fax_number": "203-705-2924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STEPHEN MASSIMI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-22",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "MASSIMI",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "MEDICAL DOCTOR / BUSINESS OWNER",
"authorized_official_telephone_number": "203-705-2350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "255564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1831331388",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.