Individual provider Active NPI

Stephen Brunnquell, M.D.

  • Internal Medicine Physician
  • Harrington Park, NJ
National Provider Identifier
1740281310
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05743400 Issued in NJ
Practice address
24 Elm St
Harrington Park, NJ 07640-1902
Phone
(201) 784-0123
Fax
(201) 784-0065
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05743400 NJ Primary

Addresses

Primary practice location

24 Elm St
Harrington Park, NJ 07640-1902

Mailing address

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 784-0123

Other identifiers 10

IdentifierTypeStateIssuer
BP241OtherNJOXFORD ID #
0048232000OtherNJAMERIHEALTH ID #
4273266OtherNJAETNA ID #
0048302001OtherNJKEYSTONE #
17L231OtherNJEMPIRE HC (HP)
0K6753OtherNJHEALTHNET ID #
110163804OtherNJRAILROAD MDCR #
5362202MedicaidNJ
17L232OtherNJEMPIRE HC (TE)
17L233OtherNJEMPIRE HC (NV)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050408000897 NJ Practitioner - Internal Medicine 7911993365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

220 Livingston St
Northvale, NJ 07647-1739

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

274 County Rd
Tenafly, NJ 07670-1040
Phone (201) 568-0493

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Medical Group PA CurrentSince Jan 1, 1996 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

24 Elm St
Harrington Pk, NJ 07640
Phone (201) 784-0123

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

100 McClellen St
Norwood, NJ 07648
Phone (201) 767-0100

274 County Rd
Ste A
Tenafly, NJ 07670
Phone (201) 568-0493

Interoperability endpoints

  • Direct secure messaging: sbrunnquell236680@direct.englewoodhealth.org

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 5

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1740281310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ELM ST",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401902",
            "telephone_number": "201-784-0123",
            "fax_number": "201-784-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ELM ST",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401902",
            "telephone_number": "201-784-0123",
            "fax_number": "201-784-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNQUELL",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05743400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "BP241",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ID #",
            "identifier": "0048232000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "4273266",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE #",
            "identifier": "0048302001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HC (HP)",
            "identifier": "17L231",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID #",
            "identifier": "0K6753",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDCR #",
            "identifier": "110163804",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5362202",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HC (TE)",
            "identifier": "17L232",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HC (NV)",
            "identifier": "17L233",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrington Park, NJ

Sources for this page

Verify at the official NPI Registry.