Individual provider Active NPI

Stuart Bitterman, M.D.

  • Dermatology Physician
  • Forest Hills, NY
National Provider Identifier
1487739413
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
160959 Issued in NY
Practice address
7734 113TH St
Forest Hills, NY 11375-7133
Phone
(718) 544-6650
Fax
(516) 569-5893
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 160959 NY Primary

Addresses

Primary practice location

7734 113TH St
Forest Hills, NY 11375-7133

Mailing address

217 Steven PL
Woodmere, NY 11598-2532
Phone (718) 544-6650

Other identifiers 1

IdentifierTypeStateIssuer
01813794MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000266 NY Practitioner - Dermatology 2062400534 Practice locations: Brooklyn, NY; Forest Hills, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bitterman Stuart MD Dermatology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1487739413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 STEVEN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982532",
            "telephone_number": "718-544-6650",
            "fax_number": "516-569-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 113TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757133",
            "telephone_number": "718-544-6650",
            "fax_number": "516-569-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTERMAN",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "160959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01813794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.