Paul Stefek, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

257760 Issued in NY

Practice address

2432 N Triphammer Rd
Ithaca, NY 14850-1014

Phone

(607) 272-0460

Fax

(607) 275-9739

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1649242785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501014",
            "telephone_number": "607-272-0460",
            "fax_number": "607-275-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501014",
            "telephone_number": "607-272-0460",
            "fax_number": "607-275-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFEK",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "257760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0690202",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ST0608822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of New York Comptrollers Office
• Laura Staubes
• Jessica Marie Steele, RN
• Miranda K Steen, LCSW
• Christopher J Stefano
• Margaret Steffie
• Sheila J Stein, FNP
• Todd Stein, D.C.
• Calyx Steiner, LMSW
• Diana Marie Stephens, MD

• Cardiovascular Disease Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.