Active NPI
Paul George Stumpf, M.D.
- Reproductive Endocrinology Physician
- Summit, NJ
National Provider Identifier
1235195801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 46854
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (423) 778-2580
- Fax
- (423) 778-7489
- NPI assigned
- Apr 24, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 12519 | NV | |
| Gynecology Physician | 207VG0400X | 12519 | NV | |
| Reproductive Endocrinology Physician | 207VE0102X | 46854 | TN | Primary |
| Gynecology Physician | 207VG0400X | 46854 | TN |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (973) 971-4179
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880330858 | Other | NV | MEDIVERSAL, INC. |
| 3719461-005 | Other | NJ | CIGNA HEALTHCARE |
| 4820 | Other | NV | EVOLUTIONS |
| 880330858 | Other | NV | ANTHEM BC/BS |
| 294636 | Other | NV | AHCCCS |
| 880330858 | Other | NV | GREAT-WEST HEALTHCARE |
| 1001205 | Medicaid | NJ | |
| 1235195801 | Medicaid | NV | |
| 223680351 | Other | NJ | THE FIRST HEALTH NETWORK |
| 880330858 | Other | NV | TEACHERS HEALTH TRUST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12519 | NV | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1235195801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "973-971-4179",
"fax_number": "973-971-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533",
"telephone_number": "423-778-2580",
"fax_number": "423-778-7489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMPF",
"first_name": "PAUL",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NV",
"license": "12519",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NV",
"license": "12519",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "TN",
"license": "46854",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "46854",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIVERSAL, INC.",
"identifier": "880330858",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "3719461-005",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVOLUTIONS",
"identifier": "4820",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "880330858",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "294636",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST HEALTHCARE",
"identifier": "880330858",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001205",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235195801",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE FIRST HEALTH NETWORK",
"identifier": "223680351",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHERS HEALTH TRUST",
"identifier": "880330858",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.