Active NPI
Stephen Anthony Davis, M.D.
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1487606190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 150869
- Practice address
- 454 Avenue U
Brooklyn, NY 11223-4011 - Phone
- (718) 382-3400
- Fax
- (718) 382-3420
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 150869 | NY | Primary |
Addresses
Primary practice location
454 Avenue U
Brooklyn, NY 11223-4011
Mailing address
454 Avenue U
Brooklyn, NY 11223-4011
Phone (718) 382-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00932738 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Surgery | Past | Accepting new patients |
| New York Community Hospital of Brooklyn, Inc. | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1205840055
Surgery
-
dba Department of Surgery
- Surgery Physician
- New York, NY
- NPI 1669579017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487606190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234011",
"telephone_number": "718-382-3400",
"fax_number": "718-382-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234011",
"telephone_number": "718-382-3400",
"fax_number": "718-382-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "STEPHEN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "150869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00932738",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.