Active NPI
Stephen Donohue
- Athletic Trainer
- Bronx, NY
National Provider Identifier
1477922169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000522
- Practice address
- 1 E 161St St
Bronx, NY 10451-2100 - Phone
- (718) 579-4583
- NPI assigned
- Sep 23, 2015
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000522 | NY | Primary |
Addresses
Primary practice location
1 E 161St St
Bronx, NY 10451-2100
Mailing address
One East 161St Street
Yankee Stadium
Bronx, NY 10451
Phone (718) 579-4583
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 |
|---|---|---|---|
| 000522 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1477922169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE EAST 161ST STREET",
"address_2": "YANKEE STADIUM",
"city": "BRONX",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-579-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E 161ST ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104512100",
"telephone_number": "718-579-4583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHUE",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.