Individual provider Active NPI

Stephen Robert Densen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mineola, NY
National Provider Identifier
1598874208
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1057 Issued in TX
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

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4414702OtherTXAETNA
OQT12AOtherTXBLUE CROSS/ BLUE SHEILD
121560003MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000074 NY Practitioner - PodiatryPractitioner - Other (Physician) 3375567159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004381NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC CurrentSince Jun 3, 2019 Accepting new patients
True North Medical Group PC CurrentSince Jun 3, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.