Active NPI
Jennifer V Stern, RPA
- Medical Physician Assistant
- New York City, NY
National Provider Identifier
1003051236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 008912
- Practice address
- 51 - E 25TH Street
6TH Floor
New York City, NY 10010 - Phone
- (212) 813-3632
- Fax
- (941) 552-8766
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 008912 | NY | Primary |
Addresses
Primary practice location
51 - E 25TH Street
6TH Floor
New York City, NY 10010
Mailing address
51 - E 25TH St
6TH FL
New York City, NY 10010
Phone (212) 813-3632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008912 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1003051236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 - E 25TH ST",
"address_2": "6TH FL",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-813-3632",
"fax_number": "941-552-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 - E 25TH STREET",
"address_2": "6TH FLOOR",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-813-3632",
"fax_number": "941-552-8766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "JENNIFER",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "RPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "008912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.