Active NPI
Stephen P Cleary, MD
- Obstetrics & Gynecology Physician
- Langhorne, PA
National Provider Identifier
1386646743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD025916E
- Practice address
- 1203 Langhorne Newtown Rd
Suite 125
Langhorne, PA 19047-1209 - Phone
- (215) 710-5610
- Fax
- (215) 710-5625
- NPI assigned
- Aug 15, 2005
- Last updated
- Jun 28, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD025916E | PA | Primary |
Addresses
Primary practice location
1203 Langhorne Newtown Rd
Suite 125
Langhorne, PA 19047-1209
Mailing address
PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4084477 | Other | PA | AETNA |
| 0010585980013 | Medicaid | PA | |
| 0053034000 | Other | PA | KEYSTONE IBC |
| P00699956 | Other | PA | RAILROAD MEDICARE |
| 1597065 | Other | PA | GATEWAY |
| 0293671 | Other | PA | CIGNA, PA |
| 30048668 | Other | PA | KEYSTONE FIRST |
| 469138 | Other | PA | HIGHMARK BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephen.cleary@axia.eclinicaldirectplus.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Past | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients | |
| Regional Women's Health Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- stephen.cleary@axia.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
dba Holland Family Practice
- Family Medicine Physician
- Holland, PA
- NPI 1144521444
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1386646743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22581",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100872581",
"telephone_number": "610-482-4795",
"fax_number": "856-528-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 LANGHORNE NEWTOWN RD",
"address_2": "SUITE 125",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471209",
"telephone_number": "215-710-5610",
"fax_number": "215-710-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "STEPHEN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD025916E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4084477",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010585980013",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "0053034000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00699956",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1597065",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA, PA",
"identifier": "0293671",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE FIRST",
"identifier": "30048668",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "469138",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephen.cleary@axia.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1203 Langhorne Newtown Rd",
"address_2": "Suite 125",
"city": "Langhorne",
"state": "PA",
"country_code": "US",
"postal_code": "190471209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Langhorne, PA
- Claudia Rosenberg PHD LCSW LLC
- Carly Theresa Clayton, M.S. CCC-SLP
- Clear Minds Psychiatry Restricted LLC (Haseeba Ismaiel)
- Eileen Marie Cleary, PSY.D.
- Joseph Patrick Cleary
- Stephen Clifford
- Clinical Gastrointestinal Associates, PC
- Clinical Health Care Associates of New Jersey, PC
- Clinical Medical Laboratory LLC
- Christine Cloud-O'Brien
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.