Organization Active NPI

Steven Ender DO PLLC

  • Neurology Physician
  • Bethpage, NY
National Provider Identifier
1285897900
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
171220-1 Issued in NY
Legal business name
STEVEN ENDER DO PLLC
Practice address
4250 Hempstead Tpke
Suite 21
Bethpage, NY 11714-5716
Phone
(516) 520-3962
Fax
(516) 520-3972
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Steven Ender, DO
Title
Physician/Owner
Phone
(516) 520-3913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 171220-1 NY Primary

Addresses

Primary practice location

4250 Hempstead Tpke
Suite 21
Bethpage, NY 11714-5716

Mailing address

4250 Hempstead Tpke
Suite 21
Bethpage, NY 11714-5716
Phone (516) 520-3962

Other identifiers 1

IdentifierTypeStateIssuer
823N21OtherNYBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1285897900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 21",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145716",
            "telephone_number": "516-520-3962",
            "fax_number": "516-520-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 21",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145716",
            "telephone_number": "516-520-3962",
            "fax_number": "516-520-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN ENDER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "ENDER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "516-520-3913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "171220-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "823N21",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.