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Deactivated NPI 1760666192 Deactivated / Inactive NPI Male Practitioner

Wilbur Stewart

Licensed Practical Nurse • Suffern, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wilbur Stewart has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2007
NPI Deactivation Date December 06, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Wilbur Stewart was a registered Licensed Practical Nurse practicing in Suffern, NY. Throughout an active medical career spanning 16 years, Wilbur Stewart provided care at the practice location at 200 LAFAYETTE AVE until profile deactivation on 2023-12-06.

Practice Location & Contact Primary Location

Practice Address

200 Lafayette Ave
Apt. 305

Suffern, NY 109014712

Telephone 8455045364
Fax 1845504536

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Suffern, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
104 Specialists

Practicing in Suffern, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 219220-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 06, 2023

Record deactivated on December 06, 2023

NPI Profile Active December 20, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 20, 2007

Registered at 200 LAFAYETTE AVE, APT. 305, SUFFERN, NY 109014712 (Tel: 8455045364)

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Updated Business Mailing Address December 20, 2007

Registered at 200 LAFAYETTE AVE, APT 305, SUFFERN, NY 109014714 (Tel: 8455045364)

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Provider Name / Credentials Updated December 20, 2007

Recorded as WILBUR STEWART, 02860048

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2007

Licensed Practical Nurse (License #219220-1 in NY)

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Initial NPI Registration & Enumeration December 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760666192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2007
Last Update: December 20, 2007
Deactivation Date: December 06, 2023

Mailing Address

200 Lafayette Ave, Apt 305

Suffern, NY 109014714

Phone: 8455045364

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.