Steffy Stephen
Individual provider Active NPI Internal Medicine Physician · Jackson Heights, NY
NPI 1548753379 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1548753379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 313554 (NY)
- Practice address
- 3433 Junction Blvd
Jackson Heights, NY 11372-3828 - Phone
- (718) 334-6150
- Fax
- (718) 334-6110
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brookhaven Heart PLLC
Practice addresses (Care Compare)
325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone (631) 654-3278
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220203000773 | NY | Practitioner - Internal Medicine | 0143613760 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313554 | NY | MD | Internal Medicine Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Internal Medicine | Current |
Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| Brookhaven Heart PLLC | Internal Medicine | Current |
Accepting new patients |
| New York City Health and Hospitals Corporation | Current |
Accepting new patients |
Locations
760 Broadway
Brooklyn, NY 11206
Phone (718) 963-5807
3433 Junction Blvd
Jackson Heights, NY 11372
Phone (718) 334-6150
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071
227 Madison St
New York, NY 10002
Phone (212) 238-7000
50 Water St
Fl 3
New York, NY 10004
325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- sjose564598@nychhc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/EEFCAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 313554 | NY | Yes |
Addresses
Primary practice location
3433 Junction Blvd
Jackson Heights, NY 11372-3828
Mailing address
534 N 11TH St
New Hyde Park, NY 11040-4213
Phone (210) 420-9584
Other practice location 1
760 Broadway
Brooklyn, NY 11206-5317
Phone (717) 718-9638
Other providers in Jackson Heights, NY
- Tammy St Clair
- Stat Medical Care
- Station Pharmacy, Inc
- Heather Steadman
- Stephanie Carter-Robin DPM PC
- STM Drug Corp
- Barbara Ellis Suarez
- David Suen
- Darapa Donna Sukboonlue
- Claire Sullivan
All providers in Jackson Heights, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.