NPIMap

Individual provider Active NPI

Mark Stephen, MD

  • Specialist
  • Levittown, NY
National Provider Identifier
1790772408
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
213491 Issued in NY
Practice address
2920 Hempstead Tpke
Levittown, NY 11756-1402
Phone
(516) 735-4048
Fax
(516) 731-1945
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 213491 NY Primary

Addresses

Primary practice location

2920 Hempstead Tpke
Levittown, NY 11756-1402

Mailing address

2920 Hempstead Tpke
Levittown, NY 11756-1402
Phone (516) 735-4048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000523 NY Practitioner - Orthopedic Surgery 4082744156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

1101 Stewart Ave
Suite 100
Garden City, NY 11530-4833
Phone (516) 536-2800

Hospital & facility affiliations

  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion136
Laminectomy or laminotomy (partial removal of spine bones)73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213491NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 18, 2018 Accepting new patients
True North Medical Group PC CurrentSince Jun 1, 2019 Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 18, 2018 Accepting new patients
True North Medical Group PC CurrentSince Jun 1, 2019 Accepting new patients
True North Medical Group PC Past Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Past Accepting new patients

Locations

3480 Veterans Memorial Hwy
Bohemia, NY 11716
Phone (631) 289-0338

123 Maple Ave
Cedarhurst, NY 11516
Phone (516) 295-1300

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

1101 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 234-6158

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Networks

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

Interoperability endpoints

  • Direct secure messaging: mstephen218560@northwell.direct-ci.com

Organizations & group practices 7

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 10

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1790772408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561402",
            "telephone_number": "516-735-4048",
            "fax_number": "516-731-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561402",
            "telephone_number": "516-735-4048",
            "fax_number": "516-731-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "213491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.