Active NPI
Jacqueline Stephen MD LLC
- Obstetrics & Gynecology Physician
- Brookline, MA
National Provider Identifier
1083099162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JACQUELINE STEPHEN MD LLC
- Practice address
- 55 Pond Ave
Brookline, MA 02445-7170 - Phone
- (617) 232-0202
- Fax
- (720) 361-7739
- NPI assigned
- Jul 30, 2015
- Last updated
- Apr 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacqueline Antonia Stephen, M.D
- Title
- Physician
- Phone
- (617) 232-0202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
55 Pond Ave
Brookline, MA 02445-7170
Mailing address
1180 Beacon St Ste 3D
Brookline, MA 02446-3806
Phone (617) 232-0202
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Brookline, MA
- NPI 1659428183
-
- Gynecology Physician
- Brookline, MA
- NPI 1225195779
-
- Gynecology Physician
- Brookline, MA
- NPI 1629122791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523836800000",
"number": "1083099162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 BEACON ST STE 3D",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463806",
"telephone_number": "617-232-0202",
"fax_number": "720-361-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 POND AVE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457170",
"telephone_number": "617-232-0202",
"fax_number": "720-361-7739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACQUELINE STEPHEN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-30",
"last_updated": "2018-04-16",
"status": "A",
"authorized_official_last_name": "STEPHEN",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "ANTONIA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "617-232-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.