Organization Active NPI

Stefan G. Chevalier, DO, PC

  • Plastic Surgery Physician
  • Middletown, NY
National Provider Identifier
1427211853
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
211120-1 Issued in NY
Legal business name
STEFAN G. CHEVALIER, DO, PC
Practice address
726 E Main St
Suite 201
Middletown, NY 10940-2653
Phone
(845) 703-1225
Fax
(845) 703-4380
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Dr. Stefan Gary Chevalier, D.O.NPI 1649377094
Title
Owner/President
Phone
(845) 703-1225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 211120-1 NY Primary

Addresses

Primary practice location

726 E Main St
Suite 201
Middletown, NY 10940-2653

Mailing address

726 E Main St
Suite 201
Middletown, NY 10940-2653
Phone (845) 703-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101001595 NY Part B Supplier - Clinic/Group Practice 9931393105 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, NY

National Provider Directory

National Provider Directory

Locations

726 E Main St
Ste 201
Middletown, NY 10940
Phone (845) 342-1495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1427211853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402653",
            "telephone_number": "845-703-1225",
            "fax_number": "845-703-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402653",
            "telephone_number": "845-703-1225",
            "fax_number": "845-703-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN G. CHEVALIER, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "CHEVALIER",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "845-703-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "211120-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.