Stephanie E Mitsos, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06156500 Issued in NJ

Practice address

55 N Gilbert St
Suite 3201
Tinton Falls, NJ 07701-4955

Phone

(732) 450-0961

Fax

(732) 536-0213

NPI assigned

Jan 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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.

• Hackensack Meridian Health Medical Group - Primary Care PC

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538

  Internal Medicine

  Medicare reassignment NPD
• Meridian Medical Group - Specialty Care, PC

  • Family Medicine Physician
  • Edgewater, NJ
  • NPI 1275362105

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1861679516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "address_2": "SUITE 3201",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014955",
            "telephone_number": "732-450-0961",
            "fax_number": "732-536-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N GILBERT ST",
            "address_2": "SUITE 3201",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014955",
            "telephone_number": "732-450-0961",
            "fax_number": "732-536-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSOS",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06156500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Angelo Pathways
• Mid Atlantic Rehabilitation Consultants, LLC
• Steven E Miller, D.O.
• Evelyn Minaya, M.D.
• Mira Vie at Tinton Falls Opco LLC
• MMC Encompass Health Rehabilitation Hospital, LLC
• Molloy Counseling & Wellness LLC
• Monmouth Eye Center LLC
• Monmouth Regional High School
• Monmouth Regional High School

• Internal Medicine Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.