NPIMap

Individual provider Active NPI

Stephen J Nicholas, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nyc, NY
National Provider Identifier
1528053550
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
172648 Issued in NY
Practice address
130 E 77TH St
5TH Floor
Nyc, NY 10021-1851
Phone
(212) 737-3301
Fax
(212) 737-4876
NPI assigned
Sep 15, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 172648 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 172648 NY Primary

Addresses

Primary practice location

130 E 77TH St
5TH Floor
Nyc, NY 10021-1851

Mailing address

130 E 77TH St
5TH Floor
Nyc, NY 10021-1851
Phone (212) 737-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040520001634 NY Practitioner - Orthopedic Surgery 9335130038 Reassigns benefits to 1 organization
I20260518002509 NJ Practitioner - AnesthesiologyPractitioner - Orthopedic SurgeryPractitioner - Pain Management 9335130038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2000

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

159 E 74 St
New York, NY 10021-3235
Phone (212) 737-3301

2 Overhill Rd
Suite 310
Scarsdale, NY 10583-5316
Phone (914) 725-6970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement56
Lower limb (leg) arthroscopy (minimally invasive joint repair)31
Upper limb (arm) arthroscopy (minimally invasive joint repair)30
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172648NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC Orthopaedic Surgery CurrentSince Jul 1, 1992 Accepting new patients
Stephen J Nicholas MD PC Orthopaedic Surgery CurrentSince Aug 11, 1992 Accepting new patients
NJ Orthopedics Pain & Spine Center PC Current Accepting new patients
Stephen J Nicholas MD PC Past Accepting new patients
Stephen J Nicholas MD PC Orthopaedic Surgery Past Accepting new patients
Stephen J Nicholas MD PC Orthopaedic Surgery Past Accepting new patients
Stephen J. Nicholas MD PC Past Accepting new patients
Stephen J Nicholas MD PC Orthopaedic Surgery Past Accepting new patients
Stephen J Nicholas MD PC Orthopaedic Surgery Past Accepting new patients

Locations

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

159 E 74th St
Fl 2
New York, NY 10021
Phone (212) 249-7790

159 E 74th St
Ofc 2
New York, NY 10021

2 Overhill Rd
Scarsdale, NY 10583
Phone (212) 506-0236

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

1600 Stewart Ave
Ste 100
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: snicholas67209@northwell.direct-ci.com
  • Direct secure messaging: stephen.nicholas.1@11998.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528053550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "5TH FLOOR",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-737-3301",
            "fax_number": "212-737-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "address_2": "5TH FLOOR",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-737-3301",
            "fax_number": "212-737-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "172648",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "172648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

Verify at the official NPI Registry.