Active NPI
Stephen Finnerty
- Contractor
- Forest Hills, NY
National Provider Identifier
1447091244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 318089031
- Practice address
- 7000 Austin St Ste 200
Forest Hills, NY 11375-4739 - Phone
- (718) 762-7633
- Fax
- (718) 886-8694
- NPI assigned
- Jun 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 318089031 | NY | Primary |
Addresses
Primary practice location
7000 Austin St Ste 200
Forest Hills, NY 11375-4739
Mailing address
22 King St
Dobbs Ferry, NY 10522-2005
Phone (347) 461-3838
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318089031 | NY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1447091244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 KING ST",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105222005",
"telephone_number": "347-461-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 AUSTIN ST STE 200",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754739",
"telephone_number": "718-762-7633",
"fax_number": "718-886-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINNERTY",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": "NY",
"license": "318089031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.