Individual provider Active NPI

Jonathan Stein, MD

  • Ophthalmology Physician
  • Fairfield, CT
National Provider Identifier
1881636793
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04115 Issued in CT
Practice address
75 Kings Highway Cutoff
Fairfield, CT 06824-5340
Phone
(203) 366-8000
Fax
(203) 330-4598
NPI assigned
Jun 12, 2006
Last updated
Sep 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04115 CT Primary

Addresses

Primary practice location

75 Kings Highway Cutoff
Fairfield, CT 06824-5340

Mailing address

75 Kings Highway Cutoff
Fairfield, CT 06824-5340
Phone (203) 366-8000

Other identifiers 1

IdentifierTypeStateIssuer
001411553MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110209000008 CT Practitioner - Ophthalmology 0143400168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Ophthalmic Consultants of Connecticut PCGroup PAC ID 9537133210, 8 clinicians

Practice addresses (Care Compare)

1064 E Main St
Meriden, CT 06450-4898
Phone (203) 237-1818

25 3Rd St
Stamford, CT 06905-5100
Phone (203) 975-1818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.7 of 100Reported as group
Quality
86.99
Improvement activities
40
Cost
13.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery724

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04115CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Connecticut PC Ophthalmology CurrentSince Jul 1, 2003 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology Past Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients

Locations

317 Foxon Rd
Ste 2
East Haven, CT 06513

1375 Kings Hwy
Fairfield, CT 06824
Phone (203) 366-8000

1064 E Main St
Ste 318
Meriden, CT 06450
Phone (203) 237-1818

605 West Ave
Norwalk, CT 06850
Phone (203) 838-8844

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

Networks

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

Interoperability endpoints

  • Direct secure messaging: jonathan.stein.p5@direct.ocli.nextgenshare.com
  • Direct secure messaging: jstein683122@nychhc.direct-ci.com

Organizations & group practices 3

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 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1881636793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 KINGS HIGHWAY CUTOFF",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245340",
            "telephone_number": "203-366-8000",
            "fax_number": "203-330-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 KINGS HIGHWAY CUTOFF",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245340",
            "telephone_number": "203-366-8000",
            "fax_number": "203-330-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "04115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001411553",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.