Active NPI
Stephen G Hurst, MD PC
- Vascular Surgery Physician
- Suffern, NY
National Provider Identifier
1679764310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 182239
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01441029 | Medicaid | NY | |
| 7425601 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.