Jerry O Stern, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

035247 Issued in CT

Practice address

58 Orchard Hill Rd
Katonah, NY 10536-3024

Phone

(203) 232-7896

NPI assigned

Mar 1, 2010

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1417270711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 ORCHARD HILL RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363024",
            "telephone_number": "203-232-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 ORCHARD HILL RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363024",
            "telephone_number": "203-232-7896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Ridgebury Rd",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "CT",
            "postal_code": "068771058",
            "country_code": "US",
            "telephone_number": "203-798-4893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "JERRY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "134823",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "035247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "134823",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT STATE LICENSE",
            "identifier": "0352247",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Sorokin, PH.D.
• Colleen Elizabeth Spang, FNP
• Galia M Spassova, PT
• Andrea Nicole Spirn, PH.D.
• Marilisa St Fleur, FNP
• Veronica Stewart
• Virgilio A. Stewart, MS.ED
• Michael Allen Stillman, MD
• Emily Stoddard
• Adrienne R Stone, PT

• Internal Medicine Physician in Katonah, NY
• Providers in Katonah, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.