Active NPI
Alan M Stern, D.C.
- Chiropractor
- Freehold, NJ
National Provider Identifier
1285770990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MCO2989
- Practice address
- 590 Park Ave
Suite 2-D
Freehold, NJ 07728-2380 - Phone
- (732) 577-8991
- NPI assigned
- Jan 29, 2007
- Last updated
- Jan 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MCO2989 | NJ | Primary |
Addresses
Primary practice location
590 Park Ave
Suite 2-D
Freehold, NJ 07728-2380
Mailing address
590 Park Ave
Suite 2-D
Freehold, NJ 07728-2380
Phone (732) 577-8991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 936715 | Other | NJ | AETNA ID# |
| P809114 | Other | NJ | OXFORD ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080509000336 | NJ | Practitioner - Chiropractic | 5395824734 | Practice locations: Freehold, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
590 Park Ave
Freehold, NJ 07728-2381
Phone (732) 577-8991
590 Park Ave
Suite 2D
Freehold, NJ 07728-2380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MCO2989 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan M. Stern | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1285770990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 PARK AVE",
"address_2": "SUITE 2-D",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282380",
"telephone_number": "732-577-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 PARK AVE",
"address_2": "SUITE 2-D",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282380",
"telephone_number": "732-577-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "ALAN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MCO2989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID#",
"identifier": "936715",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID#",
"identifier": "P809114",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.