Individual provider Active NPI

Michael S. Stewart, M.D.

  • Child & Adolescent Psychiatry Physician
  • Jersey City, NJ
National Provider Identifier
1588712467
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MA70899 Issued in NJ
Practice address
395 Grand St
Jersey City, NJ 07302-4238
Phone
(201) 915-2600
Fax
(201) 369-6301
NPI assigned
Jan 8, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MA70899 NJ Primary

Addresses

Primary practice location

395 Grand St
Jersey City, NJ 07302-4238

Mailing address

PO Box 367
Mendham, NJ 07945-0367
Phone (973) 885-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070917000527 NJ Practitioner - PsychiatryPractitioner - Addiction Medicine 6406940865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA70899NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Guidance, PC CurrentSince Aug 1, 2020 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Dec 30, 2010 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Sep 1, 2015 Accepting new patients
County of Union CurrentSince Jul 24, 2020 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC Past Accepting new patients

Locations

40 Watchung Way
Berkeley Hts, NJ 07922
Phone (908) 771-5700

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

395 Grand St
Jersey City, NJ 07302
Phone (201) 915-2600

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.stewart.p1@direct.cfg.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1588712467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079450367",
            "telephone_number": "973-885-2210",
            "fax_number": "973-895-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024238",
            "telephone_number": "201-915-2600",
            "fax_number": "201-369-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "MA70899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.