Active NPI
Stephen Brunnquell, M.D.
- Internal Medicine Physician
- Harrington Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05743400
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP241 | Other | NJ | OXFORD ID # |
| 0048232000 | Other | NJ | AMERIHEALTH ID # |
| 4273266 | Other | NJ | AETNA ID # |
| 0048302001 | Other | NJ | KEYSTONE # |
| 17L231 | Other | NJ | EMPIRE HC (HP) |
| 0K6753 | Other | NJ | HEALTHNET ID # |
| 110163804 | Other | NJ | RAILROAD MDCR # |
| 5362202 | Medicaid | NJ | |
| 17L232 | Other | NJ | EMPIRE HC (TE) |
| 17L233 | Other | NJ | EMPIRE 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
Enrollment records 1
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
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
- Visiting Nurse Association of Englewood, Inc
- Valley Home Care Inc.
- Amedisys Home Health
- Visiting Nurse Association of Englewood, Inc
- Englewood Hospital and Medical Center
- Kessler Rehab Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Medical Group PA | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Specialist
- Harrington Park, NJ
- NPI 1386685162
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba Kessler Rehabilitation Center
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
-
- Home Health Agency
- Englewood, NJ
- NPI 1376528224
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.