Stephen Thomas Botek, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

105239 Issued in NY

Practice address

435 W 119TH St Apt 7C
New York, NY 10027-7110

Phone

(212) 662-0866

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568670461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 119TH ST APT 7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277110",
            "telephone_number": "212-662-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W 119TH ST APT 7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277110",
            "telephone_number": "212-662-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTEK",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "105239",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "PA 30066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00183582",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Newman Bosworth, PSY.D.
• Laurie Ann Bosworth, PT
• Carolyn Boszak, CRNA
• Dorina Adriana Botas, M.D.
• Fatima Botasheva
• Mary Teresa Botelho, OD
• Josue Botello-Escalante
• Lana Boter, MD, PPLC
• Claudia Botero-Mondul, D.D.S
• Cristina Margarita Botero, NP

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.