Active NPI
Kenneth M Steinhouse, MD
- Cardiovascular Disease Physician
- Wayne, NJ
National Provider Identifier
1679536684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22897
- Practice address
- 1777 Hamburg Tpke
Suite 302
Wayne, NJ 07470-5211 - Phone
- (973) 835-6300
- Fax
- (973) 835-3761
- NPI assigned
- Apr 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22897 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 22897 | NJ | Primary |
Addresses
Primary practice location
1777 Hamburg Tpke
Suite 302
Wayne, NJ 07470-5211
Mailing address
1777 Hamburg Tpke
Suite 302
Wayne, NJ 07470-5211
Phone (973) 835-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7726805 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22897 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Health Alliance PA | Internal Medicine | Past | Accepting new patients |
| Practice Associates Medical Group | Internal Medicine | Past | Accepting new patients |
| Plains Cardiopulmonary Associates | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Wayne, NJ
- NPI 1528047842
Internal Medicine
-
- Specialist
- Pompton Plains, NJ
- NPI 1962521682
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1679536684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 302",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-835-6300",
"fax_number": "973-835-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 302",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-835-6300",
"fax_number": "973-835-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINHOUSE",
"first_name": "KENNETH",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "22897",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "22897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7726805",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.