Organization Active NPI

Mark E. Stephen MD P.C.

  • Orthopaedic Surgery of the Spine Physician
  • Saint James, NY
National Provider Identifier
1639409717
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
213491 Issued in NY
Legal business name
MARK E. STEPHEN MD P.C.
Practice address
2 Martingale Gate
Saint James, NY 11780-3546
Phone
(631) 656-9517
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Mark Stephen
Title
Director
Phone
(631) 656-9517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 213491 NY Primary

Addresses

Primary practice location

2 Martingale Gate
Saint James, NY 11780-3546

Mailing address

2 Martingale Gate
Saint James, NY 11780-3546
Phone (631) 656-9517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1639409717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARTINGALE GATE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803546",
            "telephone_number": "631-656-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARTINGALE GATE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803546",
            "telephone_number": "631-656-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. STEPHEN MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-656-9517"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "213491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.