Jay Irving Stack, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA03875700 Issued in NJ

Practice address

95 Madison Ave
Morristown, NJ 07960-6092

Phone

(973) 775-5151

Fax

(908) 673-7336

NPI assigned

Oct 4, 2006

Last updated

Dec 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Nephrology

Education

Perelman School of Med at the University of Pennsylvania, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Dialysis Associates North Jersey Dialysis facility, Parsippany, NJ, CCN 312543
• FMC East Morris Dialysis facility, Morristown, NJ, CCN 312608
• DaVita Renal Center of Succasunna Dialysis facility, Succasunna, NJ, CCN 312623
• DaVita Renal Center of Morristown Dialysis facility, Morristown, NJ, CCN 312624
• Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstack24450@direct.acumenmd.com

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.

• Northeast Kidney Care LLC

  • Internal Medicine Physician
  • Brick, NJ
  • NPI 1023889565

  Nephrology

  Medicare reassignment Care Compare group NPD
• Nephrological Associates, PA

  • Specialist
  • Florham Park, NJ
  • NPI 1740407923
  Medicare reassignment NPD
• Nephrology-Hypertension Associates of Morris County, PA

  • Nephrology Physician
  • Morristown, NJ
  • NPI 1639265705
  NPD (past)

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

• Fresenius Medical Care East Morris, LLC

  dba Fresenius Medical Care East Morris

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Morristown, NJ
  • NPI 1639482276

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Center of Morristown, LLC

  dba Renal Center of Morristown

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Morristown, NJ
  • NPI 1881947000

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Center of Succasunna, LLC

  dba Renal Center of Succasunna

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Succasunna, NJ
  • NPI 1952654170

  Dialysis facility

  Care Compare affiliation Name & address match
• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Atlantic Home Care & Hospice

  • Home Health Agency
  • Morristown, NJ
  • NPI 1962479667
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1245325026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605305",
            "telephone_number": "973-267-7673",
            "fax_number": "973-267-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-775-5151",
            "fax_number": "908-673-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "JAY",
        "middle_name": "IRVING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA03875700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244970602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spring Hills at Morristown
• Springboard Therapy LLC
• Judith Springer, PSY.D.
• Varothayan Sriskantharajah
• Stephanie St. Onge, PHD
• Beatrice Stadler
• Kristen Stahl, LPC
• Laura Ann Starke, PA-C
• Lee Fahey Starker, M.D., PH.D
• Harold Starkman, MD

• Nephrology Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.