Active NPI
Stephen Robert Densen, DPM
- Foot & Ankle Surgery Podiatrist
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1057
- Practice address
- 155 Mineola Blvd
Suite B
Mineola, NY 11501-3920 - Phone
- (516) 741-3338
- Fax
- (516) 741-4601
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1057 | TX | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 004381 | NY |
Addresses
Primary practice location
155 Mineola Blvd
Suite B
Mineola, NY 11501-3920
Mailing address
27 Crosby PL
Cold Spring Harbor, NY 11724-2404
Phone (631) 334-6507
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4414702 | Other | TX | AETNA |
| OQT12A | Other | TX | BLUE CROSS/ BLUE SHEILD |
| 121560003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004381 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Medical Group PC | Current | Accepting new patients | |
| True North Medical Group PC | Current | Accepting new patients | |
| Stephen R Densen DPM PC | Past | Accepting new patients | |
| Suffolk Podiatry PC | Past | Accepting new patients | |
| Dr Brad Stowers DPM PLLC | Past | Accepting new patients |
Locations
635 Belle Terre Rd
Ste 204
Prt Jefferson, NY 11777
Phone (631) 474-0008
788 Harrison Ave
Riverhead, NY 11901
Phone (631) 591-3801
36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570
686 County Road 39A
Southampton, NY 11968
Phone (631) 283-0355
900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000
Interoperability endpoints
- stephendensen@nslijmedgr.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Merrick, NY
- NPI 1659883486
-
- Podiatrist
- Mineola, NY
- NPI 1942543376
-
- Oxygen Equipment & Supplies (DME)
- Tarrytown, NY
- NPI 1669272886
-
- Foot Surgery Podiatrist
- Islip Terrace, NY
- NPI 1790882983
-
- Podiatrist
- Edinburg, TX
- NPI 1376698860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1598874208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CROSBY PL",
"city": "COLD SPRING HARBOR",
"state": "NY",
"postal_code": "117242404",
"telephone_number": "631-334-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MINEOLA BLVD",
"address_2": "SUITE B",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013920",
"telephone_number": "516-741-3338",
"fax_number": "516-741-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENSEN",
"first_name": "STEPHEN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1057",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "004381",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4414702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHEILD",
"identifier": "OQT12A",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121560003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.