Stephen P Haveson, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

100541 Issued in NY

Practice address

306 E 15TH Street
New York, NY 10003

Phone

(212) 529-2407

Fax

(212) 529-2469

NPI assigned

Jul 2, 2006

Last updated

Nov 14, 2012By the provider in NPPES

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 1

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1659300531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2424",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952424",
            "telephone_number": "212-529-2407",
            "fax_number": "212-529-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 15TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-529-2407",
            "fax_number": "212-529-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVESON",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "100541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00172394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Keala Havens, RN, NP
• Gayna Havens, PH.D.
• Jennifer Havens, MD
• Paige Havens, RDN, CDN
• Adelina Havesi, PHARMD
• Kathryn Lois Havranek, MD
• Yelena Havryliuk, M.D
• Keely Haw
• Sally Hawana, RDN
• Colette Haward, M.D.

• Vascular Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.