Active NPI
Steven W. Braunstein MD
- Ophthalmology Physician
- North Bergen, NJ
National Provider Identifier
1457597841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 43329
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1650301 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930017678 | NJ | DME Supplier - Physician - Ophthalmology | 2668670340 | Practice locations: North Bergen, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- North Bergen, NJ
- NPI 1821182494
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.