Individual provider Active NPI

Aaron Leib Stone, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1104837806
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
182040 Issued in NY
Practice address
1474 Carroll St
Brooklyn, NY 11213-4514
Phone
(718) 613-0642
Fax
(718) 953-5049
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 182040 NY Primary

Addresses

Primary practice location

1474 Carroll St
Brooklyn, NY 11213-4514

Mailing address

1474 Carroll St
Brooklyn, NY 11213-4514
Phone (718) 613-0642

Other identifiers 2

IdentifierTypeStateIssuer
01337104MedicaidNY
20I002OtherMEDICARE

Other names 1

  • Alan Leslie Stone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000786 NY Practitioner - Internal Medicine 9537129358 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hicksville Family Medical Care, PLLC Internal Medicine CurrentSince Sep 10, 2021 Accepting new patients
Keller Chiropractic of Crown Heights LLC. Past Accepting new patients
Rudoy Medical PC Past Accepting new patients
Keller Chiropractic of Williamsburg LLC. Past Accepting new patients

Locations

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1104837806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134514",
            "telephone_number": "718-613-0642",
            "fax_number": "718-953-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 CARROLL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134514",
            "telephone_number": "718-613-0642",
            "fax_number": "718-953-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "AARON",
        "middle_name": "LEIB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "182040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01337104",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "20I002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "STONE",
            "middle_name": "LESLIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.