Active NPI
Stephen Joseph Donovan, M.D.
- Specialist
- New York, NY
National Provider Identifier
1942240130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 155059
- Practice address
- 1070 Park Ave
New York, NY 10128-1000 - Phone
- (212) 543-5768
- Fax
- (212) 543-5326
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 155059 | NY | Primary |
Addresses
Primary practice location
1070 Park Ave
New York, NY 10128-1000
Mailing address
1051 Riverside Dr
New York, NY 10032-1007
Phone (212) 543-5768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 1, 2012 through May 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155059 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942240130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 RIVERSIDE DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321007",
"telephone_number": "212-543-5768",
"fax_number": "212-543-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281000",
"telephone_number": "212-543-5768",
"fax_number": "212-543-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "155059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.