MR. DAVID MICHAEL STEDJAN (NPI# 1558441774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558441774 |
| Entity Type | Individual |
| Full Name | MR. DAVID MICHAEL STEDJAN |
| Credential | PT, MPT, OCS |
| Practice Address |
15 Lake Ridge Plz Valley Cottage NY 10989-1925 |
| Mailing Address |
53 Capral Ln New City NY 10956-3523 |
| Practice Telephone | 8455359825 |
| Mailing Telephone | 8456344231 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 40QA01008100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
038171-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 590 Anderson Ave, Cliffside Park, NJ 070101721 | 2019418667 | 2019413353 |
| Street Address |
15 LAKE RIDGE PLZ |
| City | VALLEY COTTAGE |
| State | NY |
| Zip Code | 10989-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538671870 | Empire Orthopedic Physical Therapy and Rehabilitation, Pllc | Clinic/Center | 15 Lake Ridge Plz, Valley Cottage, NY 10989-1925 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237392 | Aviva Weldon | Social Worker | 991 Sierra Vista Lane, Valley Cottage, NY 10989 | 2020-02-14 |
| 1497201792 | Nighat Afzal | Social Worker | 140 Rout 303, Suit F, Valley Cottage, NY 10989 | 2016-08-28 |
| 1316396484 | Noreen Shimkus | Physical Therapist | 412 Storms Rd, Valley Cottage, NY 10989 | 2016-06-08 |
| 1134585680 | Lissette Rivas | Licensed Practical Nurse | 405 Sierra Vista Lane, Valley Cottage, NY 10989 | 2016-01-13 |
| 1902219124 | Ralph Jacques Alphonse | Licensed Practical Nurse | 533kings Hwy, Valley Cottage, NY 10989 | 2014-06-05 |
| 1750723516 | Noel Teresa Delgado | Licensed Practical Nurse | 137 New York Route 303, Box 13, Valley Cottage, NY 10989 | 2013-07-22 |
| 1497078943 | Tulasi Malla | Pharmacist | 33 Route 303, Valley Cottage, NY 10989 | 2010-03-11 |
| 1083881643 | Sonia C Reines | Social Worker | 336 Old Mill Rd, Valley Cottage, NY 10989 | 2008-05-13 |
| 1952582520 | Siobhan P Lamasney | Nurse Practitioner | 695 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-11-23 |
| 1841412194 | Cheryl Cohen | Occupational Therapist | 313 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-05-03 |
| Find all providers in zip 10989 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205069259 | John Patrick Fahy | Physical Therapist | 612 Corporate Way, Suite 7, Valley Cottage, NY 10989-2021 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY COTTAGE |
| Zip Code | 10989 |
Please comment or provide details below to improve the information on MR. DAVID MICHAEL STEDJAN.
| 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.