Active NPI
Michael Robert Stern, MD, FAAP
- Pediatrics Physician
- Smithtown, NY
National Provider Identifier
1306088067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 263899
- Practice address
- 300 E Main St
Suite 5
Smithtown, NY 11787-2900 - Phone
- (631) 979-6466
- Fax
- (631) 979-6475
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 263899 | NY | Primary |
Addresses
Primary practice location
300 E Main St
Suite 5
Smithtown, NY 11787-2900
Mailing address
300 E Main St
Suite 5
Smithtown, NY 11787-2900
Phone (631) 979-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- michael.stern.p1@direct.cwpw.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1306088067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MAIN ST",
"address_2": "SUITE 5",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872900",
"telephone_number": "631-979-6466",
"fax_number": "631-979-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E MAIN ST",
"address_2": "SUITE 5",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872900",
"telephone_number": "631-979-6466",
"fax_number": "631-979-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"credential": "MD, FAAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "263899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.