Active NPI
Daniel Hayden Stephens, M.D.
- Pediatrics Physician
- Long Island City, NY
National Provider Identifier
1669799516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 271996
- Practice address
- 4610 Center Blvd Apt 2213
Long Island City, NY 11109-5884 - Phone
- (310) 770-4311
- NPI assigned
- Apr 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 271996 | NY | Primary |
Addresses
Primary practice location
4610 Center Blvd Apt 2213
Long Island City, NY 11109-5884
Mailing address
4610 Center Blvd Apt 2213
Long Island City, NY 11109-5884
Phone (310) 770-4311
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140129001048 | NY | Practitioner - Pediatric Medicine | 9931338662 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271996 | NY | MD | Pediatrics Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1669799516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 CENTER BLVD APT 2213",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095884",
"telephone_number": "310-770-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 CENTER BLVD APT 2213",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095884",
"telephone_number": "310-770-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "DANIEL",
"middle_name": "HAYDEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-30",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "271996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.