Jenny A Stone, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MB07388800 Issued in NJ

Practice address

156 Woodport Rd Ste 1B
Sparta, NJ 07871-2331

Phone

(973) 726-3001

Fax

(973) 726-3002

NPI assigned

Mar 1, 2006

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Psychiatry

Education

West Virginia School of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revitalizing Remedies LLCGroup PAC ID 4082003157, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Revitalizing Remedies LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Andover, NJ
  • NPI 1497411938

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Integrated Psychological Services LLC

  dba Linda Busch Somach

  • Clinical Psychologist
  • Sparta, NJ
  • NPI 1720545650
  NPD

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1245207901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WOODPORT RD STE 1B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712331",
            "telephone_number": "973-726-3001",
            "fax_number": "973-726-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WOODPORT RD STE 1B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712331",
            "telephone_number": "973-726-3001",
            "fax_number": "973-726-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 New Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251179",
            "country_code": "US",
            "telephone_number": "609-798-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "JENNY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB07388800",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MB07388800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8804605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Summit Breast Care, LLC

• Psychiatry Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.