Active NPI
Stephen Andrew Mezzafonte, M.D.
- Interventional Cardiology Physician
- Roslyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 230538
- Practice address
- 100 Port Washington Blvd
St. Francis Hospital - Dept of Cardiology
Roslyn, NY 11576-1353 - Phone
- (516) 390-9640
- Fax
- (516) 390-9650
- NPI assigned
- Apr 10, 2008
- Last updated
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 230538 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 230538 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 230538 | NY | Primary |
Addresses
Primary practice location
100 Port Washington Blvd
St. Francis Hospital - Dept of Cardiology
Roslyn, NY 11576-1353
Mailing address
PO Box 1061
Port Washington, NY 11050-1061
Phone (516) 629-2467
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- New York University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
1000 N Village Ave
Rockville Center, NY 11570-1000
1405 Old Northern Blvd
Roslyn, NY 11576-2252
Phone (516) 484-6777
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
2200 Northern Blvd
Greenvale, NY 11548-1219
Phone (516) 325-7310
2200 Northern Blvd
Greenvale, NY 11548-1220
500 Commack Rd
Commack, NY 11725-5009
Phone (631) 689-6698
800 Old Country Rd
Riverhead, NY 11901-2140
Phone (631) 837-2359
Hospital & facility affiliations
- Catholic Home Care
- St Francis Hospital - the Heart Center
- Good Samaritan Hospital Medical Center
- Chsli St Joseph Hospital
- St Catherine of Siena Hospital
- North Shore University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230538 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Cardiovascular Disease | Current | Accepting new patients |
| CHS Physician Partners, PC | Interventional Cardiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Interventional Cardiology | Current | Accepting new patients |
Locations
2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 325-7310
2200 Northern Blvd
Ste 102
Greenvale, NY 11548
2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910
2200 Northern Blvd
Ste 132
Greenvale, NY 11548
Phone (212) 342-0886
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
100 Port Washington Blvd
Ste 105
Roslyn, NY 11576
Phone (516) 390-9640
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- smezzafonte22745@direct-chsli.net
Organizations & group practices 3
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.
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Roslyn, NY
- NPI 1881825701
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1649443649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1061",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110501061",
"telephone_number": "516-629-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PORT WASHINGTON BLVD",
"address_2": "ST. FRANCIS HOSPITAL - DEPT OF CARDIOLOGY",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761353",
"telephone_number": "516-390-9640",
"fax_number": "516-390-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZZAFONTE",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "230538",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "230538",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "230538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.