Stephen Joseph Edelstein

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

454571 Issued in NY

Practice address

8 Johnson St
Staten Island, NY 10309-1148

Phone

(718) 979-5678

NPI assigned

Apr 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Sensory Studio SLP OT PLLC

  • Rehabilitation Clinic/Center
  • Staten Island, NY
  • NPI 1588027692
  NPD
• United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1285799684
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1760126585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 2ND ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062203",
            "telephone_number": "718-490-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JOHNSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091148",
            "telephone_number": "718-979-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "454571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ecklund
• Zvi M Eckstein, M.D
• Eclipse Integrative Wellness NP in Family Health PLLC
• Jill Simone Edelstein
• Robin Edelstein, OTR/L
• Eden II School for Autistic Children
• Eden II School for Autistic Children, Inc.
• Denis Ali Eder, LMHC
• Nicole B Edgar
• Megan Nicole Edgerly

• Pediatric Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.