Organization Active NPI

Steven W. Braunstein MD

  • Ophthalmology Physician
  • North Bergen, NJ
National Provider Identifier
1457597841
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
43329 Issued in NJ
Legal business name
STEVEN W. BRAUNSTEIN MD
Practice address
7316 Kennedy Blvd
North Bergen, NJ 07047-4035
Phone
(201) 264-0779
Fax
(201) 869-8934
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Dr. Steven W Braunstein, M.D.NPI 1821182494
Title
President
Phone
(201) 264-0779

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 43329 NJ Primary

Addresses

Primary practice location

7316 Kennedy Blvd
North Bergen, NJ 07047-4035

Mailing address

7316 Kennedy Blvd
PO Box 7266
North Bergen, NJ 07047-4035
Phone (201) 264-0779

Other identifiers 1

IdentifierTypeStateIssuer
1650301MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930017678 NJ DME Supplier - Physician - Ophthalmology 2668670340 Practice locations: North Bergen, NJ

National Provider Directory

National Provider Directory

Locations

7316 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 869-3253

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": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1457597841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 KENNEDY BLVD",
            "address_2": "PO BOX 7266",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474035",
            "telephone_number": "201-264-0779",
            "fax_number": "201-869-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474035",
            "telephone_number": "201-264-0779",
            "fax_number": "201-869-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W. BRAUNSTEIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-264-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "43329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1650301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.