Stephen G Maurer MD, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

25MA08782300 Issued in NJ

Legal business name

STEPHEN G MAURER MD, LLC

Practice address

305 W Grand Ave
Suite 500
Montvale, NJ 07645-1813

Phone

(201) 391-8282

Fax

(201) 391-8299

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephen G Maurer, MD

Title

President

Phone

(201) 391-8282

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1659719375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "address_2": "SUITE 500",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-391-8282",
            "fax_number": "201-391-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "address_2": "SUITE 500",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-391-8282",
            "fax_number": "201-391-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G MAURER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-391-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA08782300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790724334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Orthopaedic Surgery) Physician in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.