Individual provider Active NPI

Jeffrey Stern, M.D.

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1083979066
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
65003 Issued in CT
Practice address
2009 Summer St
Stamford, CT 06905-5023
Phone
(917) 697-9670
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 290843 NY
Internal Medicine Physician 207R00000X 25MA10257400 NJ
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME133449 FL
Internal Medicine Physician 207R00000X 65003 CT Primary

Addresses

Primary practice location

2009 Summer St
Stamford, CT 06905-5023

Mailing address

2960 NE 207TH St Unit 1108
Aventura, FL 33180-1455
Phone (305) 224-2707

Other practice location 1

450 Clarkson Avenue
Box 1262
Brooklyn, NY 11203
Phone (718) 270-8000

Other practice location 2

2960 NE 207th St Unit 1108
Aventura, FL 33180
Phone (305) 224-2707

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 Medicine

State licenses

LicenseStateTypeSpecialty
25MA10257400NJMDInternal Medicine Physician
290843NYMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1083979066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 NE 207TH ST UNIT 1108",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801455",
            "telephone_number": "305-224-2707",
            "fax_number": "844-867-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 SUMMER ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055023",
            "telephone_number": "917-697-9670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Avenue",
            "address_2": "Box 1262",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "718-270-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 NE 207th St Unit 1108",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "33180",
            "country_code": "US",
            "telephone_number": "305-224-2707",
            "fax_number": "844-867-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290843",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10257400",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME133449",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "65003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.