Organization Active NPI

H Stephen Fletcher MD PA

Doing business as South Mountain Advanced Surgical Associates

  • Surgery Physician
  • Livingston, NJ
National Provider Identifier
1649467887
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA26286 Issued in NJ
Legal business name
H STEPHEN FLETCHER MD PA
Doing business as
South Mountain Advanced Surgical Associates
Practice address
200 South Orange Ave
Sute 203
Livingston, NJ 07039
Phone
(973) 322-7977
Fax
(973) 322-7979
NPI assigned
Oct 2, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
H Stephen Fletcher, MDNPI 1356379648
Title
Owner President
Phone
(973) 322-7977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA26286 NJ Primary

Addresses

Primary practice location

200 South Orange Ave
Sute 203
Livingston, NJ 07039

Mailing address

200 South Orange Ave
Sute 203
Livingston, NJ 07039
Phone (973) 322-7977

Other identifiers 1

IdentifierTypeStateIssuer
3358101MedicaidNJ

Other names 1

  • South Mountain Advanced Surgical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

200 S Orange Ave
Ste 302
Livingston, NJ 07039
Phone (973) 322-7977

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1649467887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVE",
            "address_2": "SUTE 203",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-7977",
            "fax_number": "973-322-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH ORANGE AVE",
            "address_2": "SUTE 203",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-322-7977",
            "fax_number": "973-322-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H STEPHEN FLETCHER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "973-322-7977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA26286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3358101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mountain Advanced Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.