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STEPHAN MICHAEL JUERGENSEN M.D.
NPI 1588059026
Pediatrics - Pediatric Cardiology in New York, NY

Active since April 01, 2015PECOS Enrolled
100/100
CMS Quality Rating
3959 BROADWAY # CHN2-253, NEW YORK, NY 10032(212) 305-8509 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Stephan Michael Juergensen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHAN MICHAEL JUERGENSEN M.D. (NPI 1588059026) is an individual pediatric cardiology provider in New York, New York, licensed in New York (318584) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588059026
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameSTEPHAN MICHAEL JUERGENSENCredential: M.D.
Location Address3959 BROADWAY # CHN2-253New York, NY 10032-1559
Mailing Address3959 Broadway # Chn2-253New York, NY 10032-1559 · (212) 305-8509
Phone(212) 305-8509
Sole ProprietorNo
Enumeration DateApril 1, 2015
Last NPPES UpdateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1588059026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 318584
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
3959 BROADWAY # CHN2-253, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephan Michael Juergensen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephan Juergensen's NPI number?

The NPI number for Stephan Juergensen is 1588059026. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Stephan Juergensen located?

Stephan Juergensen practices at 3959 Broadway # Chn2-253, New York, NY 10032. The listed phone number is (212) 305-8509.

What is Stephan Juergensen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Stephan Juergensen enrolled in Medicare?

Yes. Stephan Juergensen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephan Juergensen was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.