Individual provider Active NPI

Stephen Whitlock, P.A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1821273103
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008367-1 Issued in NY
Practice address
153 W 11TH St
St. Vincents Hospital
New York, NY 10011-8305
Phone
(212) 604-7000
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 008367-1 NY Primary

Addresses

Primary practice location

153 W 11TH St
St. Vincents Hospital
New York, NY 10011-8305

Mailing address

PO Box 837
Livingston, NJ 07039-0837
Phone (800) 345-0064

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000052 NY Practitioner - Physician Assistant 1557343266 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1470 Metropolitan Ave
Bronx, NY 10462-7446
Phone (718) 571-9270

1613 Westchester Ave
Bronx, NY 10472-2914
Phone (718) 571-9407

193 W 237TH St
Bronx, NY 10463-4141
Phone (718) 303-0479

2 W Fordham Rd
Bronx, NY 10468-5359
Phone (646) 647-1255

2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555

2393 Central Park Ave
Yonkers, NY 10710-1215
Phone (914) 219-0393

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3494 Jerome Ave
Bronx, NY 10467-1002
Phone (718) 571-9282

3780 E Tremont Ave
Bronx, NY 10465-2434
Phone (646) 518-8248

388 E Fordham Rd
Bronx, NY 10458-5044
Phone (718) 489-3553

48 E 170TH St
Bronx, NY 10452-7013
Phone (718) 571-9313

571 E 138TH St
Bronx, NY 10454-2702
Phone (718) 571-9421

68 E 161St St
Bronx, NY 10451-2207
Phone (718) 571-9139

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008367-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Aug 1, 2023 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Metro Emergency Medical Association PLLC Past Accepting new patients
Emergency Medical Metro P C Past Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients
Lifeco Medical, P.C. Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: stephen.whitlock.1@2983.direct.athenahealth.com

Organizations & group practices 12

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1821273103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070390837",
            "telephone_number": "800-345-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 11TH ST",
            "address_2": "ST. VINCENTS HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118305",
            "telephone_number": "212-604-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "STEPHEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.