Active NPI
Stacy A Bernstein, M.D.
- Pediatrics Physician
- Westfield, NJ
National Provider Identifier
1205917812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA08431700
- Practice address
- 592B Springfield Ave
Westfield, NJ 07090-1026 - Phone
- (908) 233-8860
- Fax
- (908) 654-7728
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA08431700 | NJ | Primary |
Addresses
Primary practice location
592B Springfield Ave
Westfield, NJ 07090-1026
Mailing address
592B Springfield Ave
Westfield, NJ 07090-1026
Phone (908) 233-8860
Other practice location 1
574 Springfield Ave
Westfield, NJ 07090-1001
Phone (908) 673-7227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315016328 | Other | MI | STATE LICENSE |
Other names 1
- Dr. Stacy Arlyn Levey
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- stacy.a.bernstein.1@2983.direct.athenahealth.com
Organizations & group practices 1
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": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1205917812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592B SPRINGFIELD AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901026",
"telephone_number": "908-233-8860",
"fax_number": "908-654-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592B SPRINGFIELD AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901026",
"telephone_number": "908-233-8860",
"fax_number": "908-654-7728"
}
],
"practiceLocations": [
{
"address_1": "574 Springfield Ave",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "NJ",
"postal_code": "070901001",
"country_code": "US",
"telephone_number": "908-673-7227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "STACY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA08431700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5315016328",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "LEVEY",
"middle_name": "ARLYN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.