Individual provider Active NPI

Steven Jeffrey Stummer, D.P.M.

  • Foot Surgery Podiatrist
  • Bellmore, NY
National Provider Identifier
1720150774
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005188 Issued in NY
Practice address
2631 Merrick Rd Ste 300
Bellmore, NY 11710-5784
Phone
(516) 781-9800
Fax
(631) 754-2909
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005188 NY Primary

Addresses

Primary practice location

2631 Merrick Rd Ste 300
Bellmore, NY 11710-5784

Mailing address

62 Village Hill Dr
Dix Hills, NY 11746-8337
Phone (516) 449-1842

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000561 NY Practitioner - Podiatry 5092722629 Practice locations: Bellmore, NY; Melville, NY; Northport, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 Fort Salonga Rd
25A
Northport, NY 11768-3900
Phone (516) 449-1842

2631 Merrick Rd
Bellmore, NY 11710-5784
Phone (516) 781-9800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue82
Removal of skin lesions95
Removal of nail tissue191
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005188NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Livitz Medical PC PastSince Apr 23, 2011 Accepting new patients
Deer Park PT & Pta Physical Therapy & Rehabilitation, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1720150774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 VILLAGE HILL DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468337",
            "telephone_number": "516-449-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 MERRICK RD STE 300",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105784",
            "telephone_number": "516-781-9800",
            "fax_number": "631-754-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMMER",
        "first_name": "STEVEN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.