Provider Demographics
NPI:1306984182
Name:STEVEN CAGEN, M.D., P.C.
Entity type:Organization
Organization Name:STEVEN CAGEN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-882-6196
Mailing Address - Street 1:201 BELLE CT
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-1612
Mailing Address - Country:US
Mailing Address - Phone:917-882-6196
Mailing Address - Fax:
Practice Address - Street 1:112 HAYPATH RD
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-1427
Practice Address - Country:US
Practice Address - Phone:917-882-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155512-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01182576Medicaid
NYE48916Medicare UPIN
NYG100035941Medicare PIN
NYWWQ901Medicare PIN
CTD300149965Medicare PIN