Individual provider Active NPI

Neofitos Stefanides, M.D.

  • Orthopaedic Surgery Physician
  • Bayside, NY
National Provider Identifier
1689880429
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
240488-1 Issued in NY
Practice address
22215 Northern Blvd Ste Lobbya
Bayside, NY 11361-3678
Phone
(718) 989-8515
Fax
(718) 626-0102
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 240488-7 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 240488-1 NY
Orthopaedic Surgery Physician 207X00000X 240488-1 NY Primary

Addresses

Primary practice location

22215 Northern Blvd Ste Lobbya
Bayside, NY 11361-3678

Mailing address

PO Box 605030
Bayside, NY 11360-5030
Phone (718) 989-8515

Other practice location 1

3074 31st St Fl 2
Astoria, NY 11102-2073
Phone (718) 989-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090225000671 NY Practitioner - Orthopedic Surgery 6406945922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22215 Northern Blvd
Bayside, NY 11361-3678
Phone 71898985153

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
21.78 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)27
Upper limb (arm) arthroscopy (minimally invasive joint repair)34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240488-7NYMDOrthopaedic Surgery Physician
240488-1NYMDSports Medicine (Orthopaedic Surgery) Physician
99169CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
Neofitos Stefanides M.D., P.C. Single Specialty CurrentSince Feb 9, 2009 Accepting new patients
Empire Ny Orthopedics PC Single Specialty Current Accepting new patients

Locations

3074 31st St
Fl 2
Astoria, NY 11102
Phone (718) 989-8515

22215 Northern Blvd
Lbby
Bayside, NY 11361
Phone (718) 215-0020

22215 Northern Blvd
Ste La
Bayside, NY 11361
Phone (718) 989-8515

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

22215 Northern Blvd
Flushing, NY 11361
Phone (718) 225-7500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: neofitosstefanides@whmc.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1689880429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605030",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113605030",
            "telephone_number": "718-989-8515",
            "fax_number": "718-989-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22215 NORTHERN BLVD STE LOBBYA",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613678",
            "telephone_number": "718-989-8515",
            "fax_number": "718-626-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3074 31st St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022073",
            "country_code": "US",
            "telephone_number": "718-989-8515",
            "fax_number": "718-626-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFANIDES",
        "first_name": "NEOFITOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "240488-7",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "240488-1",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "240488-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.