Stephan Michael Juergensen

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Stephan Michael Juergensen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Stephan Michael Juergensen
Credential :	M.D.
Gender :	Male

Business Address:

Stephan Michael Juergensen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3959 Broadway # Chn2-253 New York, NY, 10032-1559 United States
Phone Number :	212-305-8509

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1588059026
NPI Entity Type :	Individual
First Enrolment Date :	01 Apr, 2015
Last Updated On :	29 Jul, 2022

Medicare Participation:

Stephan Michael Juergensen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5193089845
Medicare Enrollment ID :	I20221017002219
Primary Specialty :	Pediatric Medicine
Medical School :	New York Medical College
Graduation Year :	2015
Accepts Medicare?	Yes. Stephan Michael Juergensen accepts medicare insurance.

Group Practice Association:

Stephan Michael Juergensen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Stephan Michael Juergensen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Trustees Of Columbia University In The City Of New York	8527972546	1832	622 W 168th St New York, NY - 100323720 Ph: 2123059876	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephan Michael Juergensen are as mentioned. Primary taxonomy code for Stephan Michael Juergensen, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	318584	NY

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3959 Broadway # Chn2-253 New York, NY, 10032-1559 United States
Phone Number :	212-305-8509

Business Location:

Patients can refer following map for directions to Stephan Michael Juergensen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.