Individual provider Active NPI

Gregory Borisovich Stepanets, MD

  • Psychiatry Physician
  • Rensselaer, NY
National Provider Identifier
1801900634
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
223650-01 Issued in NY
Practice address
1641 3Rd St
Rensselaer, NY 12144-1539
Phone
(518) 463-8869
Fax
(518) 463-8733
NPI assigned
Aug 18, 2006
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 223650-01 NY Primary

Addresses

Primary practice location

1641 3Rd St
Rensselaer, NY 12144-1539

Mailing address

1600 7TH Ave Ste 3
Troy, NY 12180-3410
Phone (518) 270-2646

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
I20210223000127 NY Practitioner - Psychiatry 0446665574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 7TH Ave
Troy, NY 12180-3410
Phone (518) 270-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223650-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rensselaer County Bureau of Finance CurrentSince Feb 18, 2021 Accepting new patients

Locations

1641 3rd St
Rensselaer, NY 12144
Phone (518) 463-8869

1600 7th Ave
Troy, NY 12180
Phone (518) 270-2800

1600 7th Ave
Ste 3
Troy, NY 12180
Phone (518) 270-2646

Interoperability endpoints

  • Direct secure messaging: gstepanets29856@albanymed.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1801900634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE STE 3",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803410",
            "telephone_number": "518-270-2646",
            "fax_number": "518-270-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 3RD ST",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441539",
            "telephone_number": "518-463-8869",
            "fax_number": "518-463-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANETS",
        "first_name": "GREGORY",
        "middle_name": "BORISOVICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "223650-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.