Stephen M Abo D O LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

25MB07545100 Issued in NJ

Legal business name

STEPHEN M ABO D O LLC

Practice address

1 Bay Ave
Suite 1
Montclair, NJ 07042-4837

Phone

(973) 259-3555

Fax

(973) 839-3653

NPI assigned

Feb 3, 2014

Last updated

Apr 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen M Abo, DONPI 1891717708

Title

President

Phone

(973) 839-1003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Stephen M. Abo, D.O.

  • Hematology & Oncology Physician
  • Newark, NJ
  • NPI 1891717708
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1285057810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GIRARD AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902309",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVE",
            "address_2": "SUITE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-259-3555",
            "fax_number": "973-839-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M ABO D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "ABO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-839-1003",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NJ",
            "license": "25MB07545100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Katherine Starace, PH.D.
• Natalie Steciuk, MS, ATR - BC
• Michael Stein, P.A.
• Jonathan Stepansky, LPC, CCMHC
• Sayonara Mano Stepansky, MA, LPC
• Cathy Lynette Stephenson, MS, PT, MSW
• Daniel S Stern, LSW
• Lauren Stern, PSY.D
• Steven E. Croucher, O.D. & Gabrielle Nitti, O.D.
• Stevette P. Heyliger, LPC, LLC

• Medical Oncology Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Medical Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.