Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Stephen Bradley Ravitz, DPM

Individual provider Podiatrist · NPI 1407933484

Mr. Stephen Bradley Ravitz, DPM is a Podiatry in Kings Park, New York. Graduated from New York College of Podiatric Medicine in 1990, 36 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

63 Main St
Kings Park, NY 11754
Phone: (631) 269-4600
Fax: (631) 269-0801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence N004798 (NY)

Record details

NPI number1407933484
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 5, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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