Individual provider Active NPI

Stephen A. Waite, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1619955283
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
235352-1 Issued in NY
Practice address
450 Clarkson Ave
2ND Floor
Brooklyn, NY 11203-2056
Phone
(718) 270-1603
Fax
(718) 270-2667
NPI assigned
Jan 4, 2006
Last updated
Jul 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 235352-1 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
2ND Floor
Brooklyn, NY 11203-2056

Mailing address

450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2056
Phone (718) 270-8867

Other identifiers 1

IdentifierTypeStateIssuer
02701086MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000007 NY Practitioner - Diagnostic Radiology 3375439227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
JS Weill Medical College, Cornell University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1603

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235352-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Aug 12, 2018 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Aug 12, 2018 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University Physicians of Brooklyn, Inc. Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology PastSince Jan 1, 1990 Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#1198
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#1262
Brooklyn, NY 11203
Phone (718) 270-7379

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

450 Clarkson Ave
Fl 2
Brooklyn, NY 11203
Phone (718) 270-1081

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: swaite1056850@nychhc.direct-ci.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1619955283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 1262",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-8867",
            "fax_number": "718-270-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056",
            "telephone_number": "718-270-1603",
            "fax_number": "718-270-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "STEPHEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "235352-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02701086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.