Provider Demographics
NPI:1790858165
Name:WINFIELD, STEVEN S (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:S
Last Name:WINFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 GREGORY AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3802
Mailing Address - Country:US
Mailing Address - Phone:973-778-8439
Mailing Address - Fax:973-777-1143
Practice Address - Street 1:200 GREGORY AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3802
Practice Address - Country:US
Practice Address - Phone:973-778-8439
Practice Address - Fax:973-777-1143
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA052663207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3768902Medicaid
NJ3768902Medicaid
NJ564497XU3Medicare PIN