Active NPI
Steven Stylianos, MD
- Pediatric Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 25MA05853300
- Practice address
- 3959 Broadway
CHN 2
New York, NY 10032-1559 - Phone
- (212) 342-8586
- Fax
- (212) 305-9773
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 25MA05853300 | NJ | Primary |
| Pediatric Surgery Physician | 2086S0120X | 162371 | NY |
Addresses
Primary practice location
3959 Broadway
CHN 2
New York, NY 10032-1559
Mailing address
PO Box 27036
New York, NY 10087-7036
Phone (212) 305-8586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01376654 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162371 | NY | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Miami Associates in Pediatric Surgery PA | Past | Accepting new patients | |
| Nicklaus Children's Pediatric Specialists, LLC | Past | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Pediatric Surgery | Past | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
645 State Route 18
East Brunswick, NJ 08816
Phone (732) 390-1160
760 Amboy Ave
Ste 102
Edison, NJ 08837
Phone (732) 235-7821
10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
125 Paterson St
Ste 3300
New Brunswick, NJ 08901
Phone (732) 235-7821
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9d02172d-d861-4f2f-87b5-3b1c5ad61f32/
- stylian@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 7
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.
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New Brunswick, NJ
- NPI 1831262468
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Practice Physician
- Miami, FL
- NPI 1558425090
-
dba Nicklaus Children's Pediatric Specialists - Emergency Medicine
- Pediatric Emergency Medicine (Pediatrics) Physician
- Miami, FL
- NPI 1588063176
-
- Pediatric Surgery Physician
- New Brunswick, NJ
- NPI 1487736146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1427077288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27036",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877036",
"telephone_number": "212-305-8586",
"fax_number": "212-305-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "CHN 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-342-8586",
"fax_number": "212-305-9773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYLIANOS",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NJ",
"license": "25MA05853300",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "162371",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01376654",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.