Individual provider Active NPI

Dana Wylie Kazlow Stern, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1235397746
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
228728 Issued in NY
Practice address
905 5TH Ave
New York, NY 10021-4156
Phone
(212) 734-4007
Fax
(212) 734-4321
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 228728 NY Primary

Addresses

Primary practice location

905 5TH Ave
New York, NY 10021-4156

Mailing address

905 5TH Ave
New York, NY 10021-4156
Phone (212) 734-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 12, 2018 through Jan 12, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228728NYMDDermatology Physician

Networks

  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dstern@laserskinsurgery.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1235397746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214156",
            "telephone_number": "212-734-4007",
            "fax_number": "212-734-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214156",
            "telephone_number": "212-734-4007",
            "fax_number": "212-734-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZLOW STERN",
        "first_name": "DANA",
        "middle_name": "WYLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "228728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.