Active NPI
Andrew J Stiber, MD
- Gynecology Physician
- New York, NY
National Provider Identifier
1720152366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 096846
- Practice address
- 220 East 30 Street
New York, NY 10016-8202 - Phone
- (212) 686-0499
- Fax
- (212) 779-4648
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 096846 | NY | Primary |
Addresses
Primary practice location
220 East 30 Street
New York, NY 10016-8202
Mailing address
220 East 30 Street
New York, NY 10016-8202
Phone (212) 686-0499
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096846 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1720152366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 EAST 30 STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168202",
"telephone_number": "212-686-0499",
"fax_number": "212-779-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 EAST 30 STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168202",
"telephone_number": "212-686-0499",
"fax_number": "212-779-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIBER",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "096846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.