Active NPI
Jessica S. Stern, M.D.
- Neuroradiology Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 310101-01
- Practice address
- 27005 76TH Ave
New Hyde Park, NY 11040-1402 - Phone
- (516) 587-9263
- NPI assigned
- May 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 036-113894 | IL | |
| Neuroradiology Physician | 2085N0700X | 70719 | MN | |
| Neuroradiology Physician | 2085N0700X | 310101-01 | NY | Primary |
Addresses
Primary practice location
27005 76TH Ave
New Hyde Park, NY 11040-1402
Mailing address
27005 76TH Ave
New Hyde Park, NY 11040-1402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-113894 | IL | MD | Neuroradiology Physician |
| 70719 | MN | MD | Neuroradiology Physician |
| 310101-01 | NY | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1220 Hicksville Rd
Seaford, NY 11783
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jstern68750@northwell.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
MN
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1437325073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27005 76TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401402",
"telephone_number": "516-587-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "JESSICA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-04",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IL",
"license": "036-113894",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MN",
"license": "70719",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "310101-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.