Individual provider Active NPI

Stephon Bynoe

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1548041197
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
506 Eastern Pkwy Apt A1
Brooklyn, NY 11225-1520
Phone
(347) 692-5327
NPI assigned
Oct 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

506 Eastern Pkwy Apt A1
Brooklyn, NY 11225-1520

Mailing address

506 Eastern Pkwy Apt A1
Brooklyn, NY 11225-1520
Phone (347) 692-5327

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

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1548041197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 EASTERN PKWY APT A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251520",
            "telephone_number": "347-692-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 EASTERN PKWY APT A1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251520",
            "telephone_number": "347-692-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNOE",
        "first_name": "STEPHON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.