Organization Active NPI

Stephen G Hurst, MD PC

  • Vascular Surgery Physician
  • Suffern, NY
National Provider Identifier
1679764310
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
182239 Issued in NY
Legal business name
STEPHEN G HURST, MD PC
Practice address
134 Route 59
Suffern, NY 10901-4917
Phone
(845) 357-8118
Fax
(845) 357-0101
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Stephen G Hurst, M.D.
Title
Surgeon
Phone
(845) 357-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 182239 NY Primary

Addresses

Primary practice location

134 Route 59
Suffern, NY 10901-4917

Mailing address

134 Route 59
Suffern, NY 10901-4917
Phone (845) 357-8118

Other identifiers 2

IdentifierTypeStateIssuer
01441029MedicaidNY
7425601MedicaidNJ

National Provider Directory

National Provider Directory

Locations

111 Central Ave
#45
Newark, NJ 07102
Phone (973) 877-5059

750 Broadway
Paterson, NJ 07514
Phone (908) 444-6362

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1679764310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014917",
            "telephone_number": "845-357-8118",
            "fax_number": "845-357-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014917",
            "telephone_number": "845-357-8118",
            "fax_number": "845-357-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G HURST, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "845-357-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "182239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01441029",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7425601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.