Stephen J Wilson, MD, PC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

121280 Issued in NY

Legal business name

STEPHEN J WILSON, MD, PC

Practice address

954 Madison PL
Merrick, NY 11566-1208

Phone

(516) 489-3340

Fax

(516) 505-2666

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Jay Wilson, MD

Title

President

Phone

(516) 489-3340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891771853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 MADISON PL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661208",
            "telephone_number": "516-489-3340",
            "fax_number": "516-505-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 MADISON PL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661208",
            "telephone_number": "516-489-3340",
            "fax_number": "516-505-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J WILSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-489-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "121280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa L Stein
• Lois Stein
• Helen Ruth Steinberg, LCSW
• Jeriann Stella
• Richard Steller, MD
• Steven M Levy DMD
• Richard Keith Stevens, RN
• Denise Stigliano, OTR/L
• Carol Stoddard, LCSW
• Hillary Elizabeth Stone

• Maternal & Fetal Medicine Physician in Merrick, NY
• Providers in Merrick, NY by specialty
• Maternal & Fetal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.