DR. STEPHEN MARK RENZIN (NPI# 1316029671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316029671 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MARK RENZIN |
| Credential | MD |
| Practice Address |
1 Madison Ave Fl 2 Larchmont NY 10538-1929 |
| Mailing Address |
2071 Boston Post Rd Larchmont NY 10538-3701 |
| Practice Telephone | 9148331000 |
| Practice Fax Number | 9148334226 |
| Mailing Telephone | 9148331000 |
| Mailing Fax Number | 9148334226 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
117223 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1 MADISON AVE FL 2 |
| City | LARCHMONT |
| State | NY |
| Zip Code | 10538-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114034865 | Craig O. Sundahl, D.d.s., P.C. | Dentist | 1 Madison Ave, Larchmont, NY 10538-1929 | 2006-08-25 |
| 1336256163 | Craig O. Sundahl | Dentist | 1 Madison Ave, Larchmont, NY 10538-1929 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225497126 | Crystal Michelle Cascio | Dietitian, Registered | 172 Myrtle Blvd Apt 1b, Larchmont, NY 10538 | 2016-02-19 |
| 1487097937 | Christina Erin Wallace | Acupuncturist | 132 Chatsworth Ave Apt 3a, Larchmont, NY 10538 | 2013-04-15 |
| 1033460290 | Jessica Ng | Pharmacist | 1333 Boston Post Road, Larchmont, NY 10538 | 2012-09-27 |
| 1457601908 | Naghmeh Moussapour | Licensed Practical Nurse | 126 C. Larchmot Aecers West, Larchmount, NY 10538 | 2012-09-12 |
| 1790030880 | Bernisse J Flores | Early Intervention Provider Agency | 411 Larchmont Acres, Apt A, Larchmont, NY 10538 | 2012-07-16 |
| 1073878732 | Susan Eienstein Kerz | Specialist | 17 North Brook Road, Larchmont, NY 10538 | 2012-07-09 |
| 1851653869 | Early Achievers | Early Intervention Provider Agency | 29 Pine Ridge Road, Larchmont, NY 10538 | 2012-06-14 |
| 1902166994 | Pietro Dalba Sr. | Internal Medicine | 3 Garit Lane, Larchmont, NY 10538 | 2012-05-23 |
| 1295008852 | Emil Edward Maffucci | Obstetrics & Gynecology | 24 Dimitri Place, Larchmont, NY 10538 | 2012-02-13 |
| 1295007623 | Noelle Elia, Lcsw PC | Social Worker | 4 Chatsworth Avenue, Larchmont, NY 10538 | 2012-02-01 |
| Find all providers in zip 10538 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447332721 | Joel C Ullman | Obstetrics & Gynecology | 2071 Boston Post Rd, Larchmont, NY 10538-3701 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370975 | Legacy Gynecology Pllc | Obstetrics & Gynecology | 136 Maple Rd, Amherst, NY 14221-2922 | 2020-09-11 |
| 1700494143 | Neighborhood Family Medicine | Obstetrics & Gynecology | 50 Front St, Binghamton, NY 13905-4708 | 2020-07-22 |
| 1467070029 | Electra Health Medical PC | Obstetrics & Gynecology | 335 Madison Ave Fl 3, New York, NY 10017-4616 | 2020-07-10 |
| 1164048021 | Park East Medical Pllc | Obstetrics & Gynecology | 870 5th Ave Apt 1b, New York, NY 10065-4907 | 2020-06-17 |
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1861955858 | New H Medical, P.C. | Obstetrics & Gynecology | 1150 Park Ave Ste 1a, New York, NY 10128-1244 | 2019-04-08 |
| 1851857379 | Broadway Gyn Office, P.c | Obstetrics & Gynecology | 4915 Broadway # 1-k, New York, NY 10034-3119 | 2019-02-20 |
| 1841755063 | Elizabeth Anne Mancuso | Obstetrics & Gynecology | 3 E 69th St, New York, NY 10021-5249 | 2019-02-01 |
| 1699239251 | Gynecology and Integrative Women's Care | Obstetrics & Gynecology | 30 E 23rd St Fl 7, New York, NY 10010-4440 | 2019-01-29 |
| 1699248542 | Great Wall Medical, P.C. | Obstetrics & Gynecology | 201e 28th Street, Suite #1b, New York, NY 10016 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.