Individual provider Active NPI

Stephen Wayne Gilheeney, MD, MMS

  • Pediatric Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1982759577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
218757 Issued in NY
Practice address
Memorial Sloan Kettering Cancer Center
1275 York Avenue
New York, NY 10021
Phone
(212) 639-2153
Fax
(212) 717-3239
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 218757 NY Primary

Addresses

Primary practice location

Memorial Sloan Kettering Cancer Center
1275 York Avenue
New York, NY 10021

Mailing address

345 E 94TH St
Apartment 15B
New York, NY 10128-5684
Phone (212) 534-6848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070509000462 NY Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 0042228462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225733MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Pediatric Group Pediatric Hematology-Oncology CurrentSince Jan 23, 2007 Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Children'S Hospital Pediatric Associates, Inc Pediatric Hematology-Oncology PastSince Oct 22, 2023 Accepting new patients

Locations

650 Commack Rd
Commack, NY 11725
Phone (631) 623-4000

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982759577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E 94TH ST",
            "address_2": "APARTMENT 15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285684",
            "telephone_number": "212-534-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMORIAL SLOAN KETTERING CANCER CENTER",
            "address_2": "1275 YORK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-639-2153",
            "fax_number": "212-717-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILHEENEY",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD, MMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "218757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.