Individual provider Active NPI

Steven Webster Christianson, D.O.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1679563985
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
179894-1 Issued in NY
Practice address
5 Penn PLZ
12TH Floor, VNS Choice
New York, NY 10001-1810
Phone
(212) 609-5614
Fax
(212) 290-4855
NPI assigned
Oct 27, 2005
Last updated
Aug 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 179894-1 NY Primary

Addresses

Primary practice location

5 Penn PLZ
12TH Floor, VNS Choice
New York, NY 10001-1810

Mailing address

122 Saxon Woods Rd
White Plains, NY 10605-4813
Phone (914) 949-6113

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
179894-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care at Home PC Internal Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1679563985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SAXON WOODS RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106054813",
            "telephone_number": "914-949-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PENN PLZ",
            "address_2": "12TH FLOOR, VNS CHOICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011810",
            "telephone_number": "212-609-5614",
            "fax_number": "212-290-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "STEVEN",
        "middle_name": "WEBSTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179894-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.