Individual provider Active NPI

Stephen A Okon, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1639105703
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
217940 Issued in NY
Practice address
140 4TH Ave
Lower Level
New York, NY 10003-4901
Phone
(212) 473-2300
Fax
(212) 473-4780
NPI assigned
Jun 23, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 217940 NY Primary

Addresses

Primary practice location

140 4TH Ave
Lower Level
New York, NY 10003-4901

Mailing address

1780 Broadway
Suite 300
New York, NY 10019-1414
Phone (212) 590-2922

Other identifiers 1

IdentifierTypeStateIssuer
02105195MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070427000416 NY Practitioner - Diagnostic Radiology 6406952027 Reassigns benefits to 4 organizations
I20210831000329 CT Practitioner - Diagnostic Radiology 6406952027 Reassigns benefits to 4 organizations
I20251224001275 NJ Practitioner - Diagnostic Radiology 6406952027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

2 Robbins Dr
East Williston, NY 11596-2008
Phone (718) 428-1500

21 Ivy Close
Forest Hills, NY 11375-6020
Phone (718) 670-1050

25 Lookout PT
Ridgefield, CT 06877-1914
Phone (201) 447-8000

275 Greenwich St
Apt 9N
New York, NY 10007-0075
Phone (201) 447-8000

3225 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 428-1500

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

5645 Main St
Flushing, NY 11355-5045
Phone (718) 428-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217940NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Jan 15, 2009 Accepting new patients
Valley Physician Services PC CurrentSince Sep 13, 2025 Accepting new patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jan 15, 2009 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jan 15, 2009 Accepting new patients
East Manhattan Diagnostic Imaging, PC Diagnostic Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
New York Radiogoly Associate Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Beth Israel Medical Center Diagnostic Radiology Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Locations

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (844) 734-2201

202 Canal St
Ste 500
New York, NY 10013
Phone (212) 203-6683

Interoperability endpoints

  • Direct secure messaging: sao9022@direct.nyp.org

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639105703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 BROADWAY",
            "address_2": "SUITE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191414",
            "telephone_number": "212-590-2922",
            "fax_number": "212-590-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 4TH AVE",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034901",
            "telephone_number": "212-473-2300",
            "fax_number": "212-473-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKON",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "217940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02105195",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.