Organization Active NPI

Stephen Pro Service Inc

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
National Provider Identifier
1689390288
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STEPHEN PRO SERVICE INC
Practice address
5800 49TH St N Ste 208
St Petersburg, FL 33709-2100
Phone
(727) 892-2928
Fax
(727) 892-2928
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Stephen Maharaj
Title
Ceo
Phone
(727) 892-2928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5800 49TH St N Ste 208
St Petersburg, FL 33709-2100

Mailing address

5800 49TH St N Ste 208
St Petersburg, FL 33709-2100
Phone (727) 892-2928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1689390288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-892-2928",
            "fax_number": "727-892-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-892-2928",
            "fax_number": "727-892-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PRO SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "MAHARAJ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-892-2928"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.