Provider Demographics
NPI:1144243130
Name:ROGERS, STEPHEN HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:HOWARD
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EAST 9TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6212
Mailing Address - Country:US
Mailing Address - Phone:212-353-2500
Mailing Address - Fax:212-674-4384
Practice Address - Street 1:20 EAST 9 ST.
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6212
Practice Address - Country:US
Practice Address - Phone:212-353-2500
Practice Address - Fax:212-674-4384
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091686207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
091686A40OtherHEALTH FIRST
705556OtherFIRST HEALTH
P433369OtherOXFORD
P62479835OtherMULTIPLAN
179590OtherELDENBLAN
0499408000OtherAMERI HEALTH
0017756OtherGHI
4050860OtherTRICARE
4111117OtherAETNA
0490630002OtherCIGNA
0800372OtherUNITED HEALTH
MT0002534OtherSELECT PRO
010091686NY01OtherANTHEM
0C54B5OtherHEALTH NET
442771OtherBLUE CROSS
442771OtherBLUE CROSS
MT0002534OtherSELECT PRO