Active NPI
Rebecca Stein, MD
- Ophthalmology Physician
- Garden City, NY
National Provider Identifier
1366069510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- PT16731
- Practice address
- 711 Stewart Ave Ste 160
Garden City, NY 11530-4700 - Phone
- (516) 500-4200
- NPI assigned
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | PT16731 | ND | Primary |
Addresses
Primary practice location
711 Stewart Ave Ste 160
Garden City, NY 11530-4700
Mailing address
53 Broadway Apt 405
Brooklyn, NY 11249-6105
Phone (416) 832-4367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT16731 | ND | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1366069510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 BROADWAY APT 405",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112496105",
"telephone_number": "416-832-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 STEWART AVE STE 160",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304700",
"telephone_number": "516-500-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "REBECCA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ND",
"license": "PT16731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.