Organization Active NPI

Bauman & Stoleru, M.D., P.C.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1669402491
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BAUMAN & STOLERU, M.D., P.C.
Practice address
3553 16TH St NW
Washington, DC 20010-3041
Phone
(202) 387-8900
Fax
(202) 328-0565
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Amy Lynn Rosenstadt
Title
Office Manager
Phone
(202) 387-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3553 16TH St NW
Washington, DC 20010-3041

Mailing address

3553 16TH St NW
Washington, DC 20010-3041
Phone (202) 387-8900

Other identifiers 13

IdentifierTypeStateIssuer
0046333003OtherCIGNA
015463151OtherVSP
10221150OtherAMERIGROUP
911781OtherBLOCK VISION
0554707OtherDCAETNA
181923258OtherPALMETTO GBA RAIL ROAD MEDICARE
3082OtherDCCAREFIRST
210521700MedicaidMD
006202831MedicaidVA
022453400MedicaidDC
20914OtherMDIPA
42156001OtherMDBLUE CROSS MARYLAND
410441200MedicaidMD

National Provider Directory

National Provider Directory

Locations

4119 Connecticut Ave NW
Washington, DC 20008
Phone (202) 966-4008

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1669402491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 16TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103041",
            "telephone_number": "202-387-8900",
            "fax_number": "202-328-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 16TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103041",
            "telephone_number": "202-387-8900",
            "fax_number": "202-328-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUMAN & STOLERU, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ROSENSTADT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "202-387-8900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0046333003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "015463151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10221150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "911781",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0554707",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAIL ROAD MEDICARE",
            "identifier": "181923258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "3082",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210521700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006202831",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022453400",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "20914",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MARYLAND",
            "identifier": "42156001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410441200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.