Individual provider Active NPI

Stephan Jeremy Quentzel, M.D.

  • Psychiatry Physician
  • New York City, NY
National Provider Identifier
1699817080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
201826 Issued in NY
Practice address
10 Union Square East, Suite 2B
Beth Israel Hospital - Phillips Ambulatory Care Center
New York City, NY 10003
Phone
(212) 844-8602
Fax
(212) 844-8501
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 201826 NY Primary

Addresses

Primary practice location

10 Union Square East, Suite 2B
Beth Israel Hospital - Phillips Ambulatory Care Center
New York City, NY 10003

Mailing address

91 W Hudson Ave
Englewood, NJ 07631-1718
Phone (212) 844-8602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Medical Center Past Accepting new patients
Bimc OB-GYN Associates Past Accepting new patients
Beth Israel Medical Center Psychiatry & Behavioral Science Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699817080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W HUDSON AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311718",
            "telephone_number": "212-844-8602",
            "fax_number": "212-844-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQUARE EAST, SUITE 2B",
            "address_2": "BETH ISRAEL HOSPITAL - PHILLIPS AMBULATORY CARE CENTER",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-844-8602",
            "fax_number": "212-844-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENTZEL",
        "first_name": "STEPHAN",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "201826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.