Active NPI
David J Stern, DO
- Internal Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1083688477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS4532
- Practice address
- 4601 N Congress Ave
West Palm Beach, FL 33407-3228 - Phone
- (561) 840-4699
- Fax
- (561) 840-4680
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS4532 | FL | Primary |
Addresses
Primary practice location
4601 N Congress Ave
West Palm Beach, FL 33407-3228
Mailing address
4601 N Congress Ave
West Palm Beach, FL 33407-3228
Phone (561) 840-4699
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
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4532 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1083688477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 N CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073228",
"telephone_number": "561-840-4699",
"fax_number": "561-840-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 N CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073228",
"telephone_number": "561-840-4699",
"fax_number": "561-840-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "DAVID",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS4532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.