Individual provider Active NPI

Stephen Daniel Defronzo, MD

  • Infectious Disease Physician
  • Springfield, NJ
National Provider Identifier
1922056548
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA04362300 Issued in NJ
Practice address
216 Short Hills Avenue
Springfield, NJ 07081
Phone
(973) 376-7838
Fax
(975) 912-4367
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04362300 NJ
Internal Medicine Physician 207R00000X NJ25MA04362300 NJ
Infectious Disease Physician 207RI0200X 25MA04362300 NJ Primary

Addresses

Primary practice location

216 Short Hills Avenue
Springfield, NJ 07081

Mailing address

216 Short Hills Avenue
Springfield, NJ 07081
Phone (973) 376-7838

Other identifiers 1

IdentifierTypeStateIssuer
3336808MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100909000041 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 1850416298 Practice locations: Springfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

216 Short Hills Ave
Springfield, NJ 07081-1010
Phone (973) 376-7838

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NJ25MA04362300NJMDInternal Medicine Physician

Hospital & facility affiliations 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1922056548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SHORT HILLS AVENUE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07081",
            "telephone_number": "973-376-7838",
            "fax_number": "975-912-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SHORT HILLS AVENUE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "07081",
            "telephone_number": "973-376-7838",
            "fax_number": "975-912-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRONZO",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04362300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "NJ25MA04362300",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA04362300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3336808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.