Individual provider Active NPI

Stephanie L Marglin, M.D.

  • Infectious Disease Physician
  • Plymouth, MA
National Provider Identifier
1124110556
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
150525 Issued in MA
Practice address
10 Cordage Park Cir Ste 201
Plymouth, MA 02360-7318
Phone
(508) 746-6096
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 150525 MA
Infectious Disease Physician 207RI0200X 150525 MA Primary

Addresses

Primary practice location

10 Cordage Park Cir Ste 201
Plymouth, MA 02360-7318

Mailing address

10 Cordage Park Cir Ste 201
Plymouth, MA 02360-7318
Phone (508) 746-6096

Other identifiers 1

IdentifierTypeStateIssuer
3202771MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080326000620 MA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6204912538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Boston University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

110 Long Pond Rd
Plymouth, MA 02360-2642

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients

Locations

139 Sandwich St
Plymouth, MA 02360
Phone (508) 746-5773

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

10 Cordage Park Cir
Ste 201
Plymouth, MA 02360
Phone (508) 746-6096

110 Long Pond Rd
Ste 104
Plymouth, MA 02360
Phone (508) 746-6096

Interoperability endpoints

  • Direct secure messaging: smarglin254399@direct.bilh.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1124110556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORDAGE PARK CIR STE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607318",
            "telephone_number": "508-746-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORDAGE PARK CIR STE 201",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607318",
            "telephone_number": "508-746-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGLIN",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "150525",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "150525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202771",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.