Individual provider Active NPI

Stephen Erosa, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Yonkers, NY
National Provider Identifier
1760825210
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
293785-01 Issued in NY
Practice address
1088 North Broadway
Yonkers, NY 10701
Phone
(914) 207-0004
Fax
(914) 965-0107
NPI assigned
Apr 15, 2013
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 293785-01 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 293785-01 NY Primary

Addresses

Primary practice location

1088 North Broadway
Yonkers, NY 10701

Mailing address

1088 North Broadway
Yonkers, NY 10701
Phone (914) 207-0004

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727000509 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8325395957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Philadelphia College of Osteopathic Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians
SJR Medical, PCGroup PAC ID 5991608440, 43 clinicians

Practice addresses (Care Compare)

Staten Island, NY 10301
Phone (718) 818-1234

1088 N Broadway
Yonkers, NY 10701-1107
Phone (914) 966-9296

355 Bard Ave
Staten Island, NY 10310-1664

4434 Amboy Rd
Staten Island, NY 10312-3845
Phone (718) 984-9658

967 N Broadway
Yonkers, NY 10701-1301
Phone (914) 964-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
55.13 of 100Reported as individual
Quality
59.14
Promoting interoperability
0
Improvement activities
40
Cost
55.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293785-01NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Jul 1, 2020 Accepting new patients
Spinal Pain & Rehab Medical, P.C. Pain Medicine CurrentSince Jun 11, 2018 Accepting new patients
SJR Medical, PC Pain Medicine CurrentSince Jul 6, 2020 Accepting new patients
Amboy Medical Practice PC CurrentSince Jul 1, 2020 Accepting new patients

Locations

77 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-2102

128 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 693-6500

1161 Victory Blvd
Staten Island, NY 10301
Phone (646) 417-0747

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

1019 Yonkers Ave
Yonkers, NY 10704
Phone (612) 644-9447

1022 N Broadway
Yonkers, NY 10701
Phone (914) 963-0284

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

1088 N Broadway
#2
Yonkers, NY 10701
Phone (914) 636-4466

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

970 N Broadway
Ste 305B
Yonkers, NY 10701
Phone (914) 207-1161

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: erosa@stjohnsmedicalpc.directmedgenehr.com
  • Direct secure messaging: stephen.erosa.1@19656.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1760825210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 NORTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-207-0004",
            "fax_number": "914-965-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 NORTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-207-0004",
            "fax_number": "914-965-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROSA",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "293785-01",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "293785-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.