Stephen H Mintz, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

126068 Issued in NY

Practice address

151 Intrepid Lane
Syracuse, NY 13205-2552

Phone

(315) 469-8191

Fax

(315) 469-4482

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Brighton Hill Pediatrics, R.L.L.P.

  • Pediatrics Physician
  • Syracuse, NY
  • NPI 1205983798
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1346224896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052552",
            "telephone_number": "315-469-8191",
            "fax_number": "315-469-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 INTREPID LANE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052552",
            "telephone_number": "315-469-8191",
            "fax_number": "315-469-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "126068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind, Body & Spirit Marriage and Family Therapy
• Amna Minhas, MBBS
• Mark Richard Minnick, PH.D.
• Julia Irene Minoia, N.P.
• Gwendalyn R Minton, MSW
• John Charles Minye, DDS
• Victoria Minyo, D.O.
• Sandra Alexandra Miranda Torres, CRNA
• Kanish Mirchia
• Kavya Mirchia, M.D.

• Pediatrics Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.