Organization Active NPI

Stephen M Horowitz MD LLC

  • Orthopaedic Surgery Physician
  • Marlton, NJ
National Provider Identifier
1679864490
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA05835400 Issued in NJ
Legal business name
STEPHEN M HOROWITZ MD LLC
Practice address
750 Route 73 S
Suite 207
Marlton, NJ 08053-4141
Phone
(856) 988-1966
Fax
(856) 988-1965
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Stephen M Horowitz, MDNPI 1386676054
Title
Owner
Phone
(856) 988-1966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 25MA05835400 NJ Primary

Addresses

Primary practice location

750 Route 73 S
Suite 207
Marlton, NJ 08053-4141

Mailing address

750 Route 73 S
Suite 207
Marlton, NJ 08053-4141
Phone (856) 988-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110623000011 NJ Part B Supplier - Clinic/Group Practice 6507065620 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Locations

750 Route 73 S
Ste 207
Marlton, NJ 08053
Phone (856) 988-1966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1679864490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S",
            "address_2": "SUITE 207",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534141",
            "telephone_number": "856-988-1966",
            "fax_number": "856-988-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROUTE 73 S",
            "address_2": "SUITE 207",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534141",
            "telephone_number": "856-988-1966",
            "fax_number": "856-988-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M HOROWITZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-988-1966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA05835400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.