Active NPI
Stephen J Nicholas MD PC
- Sports Medicine (Orthopaedic Surgery) Physician
- Nanuet, NY
National Provider Identifier
1609591023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- STEPHEN J NICHOLAS MD PC
- Practice address
- 162 E Route 59 #1
Nanuet, NY 10954 - Phone
- (212) 737-3301
- NPI assigned
- Oct 7, 2022
- Organization subpart
- Yes
- Parent organization
- STEPHEN J NICHOLAS MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen J Nicholas, MD
- Title
- Owner
- Phone
- (212) 737-3301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
162 E Route 59 #1
Nanuet, NY 10954
Mailing address
PO Box 16244
Belfast, ME 04915-4057
Phone (212) 737-3301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | DEMERC |
Other names 1
- NY Orthopedics
National Provider Directory
National Provider Directory- Part of
- Michael G Browne
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1609591023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16244",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154057",
"telephone_number": "212-737-3301",
"fax_number": "212-734-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E ROUTE 59 #1",
"city": "NANUET",
"state": "NY",
"postal_code": "10954",
"telephone_number": "212-737-3301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN J NICHOLAS MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STEPHEN J NICHOLAS MD PC",
"enumeration_date": "2022-10-07",
"last_updated": "2023-09-05",
"certification_date": "2023-09-01",
"status": "A",
"authorized_official_last_name": "NICHOLAS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-737-3301",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEMERC",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NY Orthopedics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NY Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.