Organization Active NPI

Jacqueline Stephen MD LLC

  • Obstetrics & Gynecology Physician
  • Brookline, MA
National Provider Identifier
1083099162
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

55 Pond Ave
Brookline, MA 02445
Phone (617) 231-0202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.