Stephen Conrad, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

131431 Issued in NY

Practice address

8721 4TH Ave
Brooklyn, NY 11209-5109

Phone

(718) 680-1500

Fax

(718) 680-5550

NPI assigned

Mar 24, 2006

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

Other identifiers 1

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

Locations

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.

• Ophthalmology Associates of Bay Ridge, P.C.

  dba Ophthalmology Associates of Bay Ridge

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1700845567
  Medicare reassignment NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1427018548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095109",
            "telephone_number": "718-680-1500",
            "fax_number": "718-680-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095109",
            "telephone_number": "718-680-1500",
            "fax_number": "718-680-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "131431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00676302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winsome J Connor
• Jaclyn Alana Connors, PHARMD
• Conrad Cheung DDS PC
• Jacqueline Conrad
• Jordyn W Conrad, PH.D.
• Tamara Conrad
• Caitlin E Conroy, PSYD
• Michael Conroy, LMSW
• Aneesah Layla Conry, R.N.
• Thamar Conseillant, OTR/L

• Ophthalmology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.