Michael Vladimir Stefanovich, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA 64760 Issued in NJ

Practice address

214 Engle St Ste 20
Englewood, NJ 07631-2418

Phone

(201) 266-5146

Fax

(201) 266-5267

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Charles H. Blackinton, MD, PA

  • Psychiatry Physician
  • Cape May Court House, NJ
  • NPI 1225225667
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1396753604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ENGLE ST STE 20",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312418",
            "telephone_number": "201-266-5146",
            "fax_number": "201-266-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ENGLE ST STE 20",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312418",
            "telephone_number": "201-266-5146",
            "fax_number": "201-266-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOVICH",
        "first_name": "MICHAEL",
        "middle_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "202687",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA 64760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Stamberg, LCSW
• Eva A Stark, M.S., LPC, PSYA
• Julia Starobin, DPT
• Neil S Stearns, DMD
• Stefanie S. Vaimakis MD LLC (Englewood Laparoscopic and Bariatric Associates)
• Alfred A Steinberger, M.D.
• Natasha Steinman, M.D.
• Stacey Stell
• Stephen H. Jaffe, MD, LLC
• Steven F. Frier, M.D.

• Psychiatry Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.