Active NPI
Cynthia J Stein, M.D.
- Sports Medicine (Internal Medicine) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 208003
- Practice address
- 319 Longwood Ave
Sports Medicine 6TH FLR
Boston, MA 02115-5728 - Phone
- (617) 355-3501
- Fax
- (617) 731-5298
- NPI assigned
- Jun 1, 2006
- Last updated
- May 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 208003 | MA | Primary |
Addresses
Primary practice location
319 Longwood Ave
Sports Medicine 6TH FLR
Boston, MA 02115-5728
Mailing address
319 Longwood Ave
Boston, MA 02115-5728
Phone (617) 355-3501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104920 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of California, Geffen School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208003 | MA | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Sports Medicine Foundation Inc. | Current | Accepting new patients | |
| Children's Sports Medicine Foundation | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
319 Longwood Ave
Boston, MA 02115
Phone (617) 277-1400
319 Longwood Ave
Ste 6
Boston, MA 02115
Phone (617) 355-3501
Interoperability endpoints
- cstein26536@direct.bostonchildrens.org
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1255378899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155728",
"telephone_number": "617-355-3501",
"fax_number": "617-731-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 LONGWOOD AVE",
"address_2": "SPORTS MEDICINE 6TH FLR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155728",
"telephone_number": "617-355-3501",
"fax_number": "617-731-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "CYNTHIA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "MA",
"license": "208003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104920",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.