Active NPI
Ronnie Phyllis Stern
- Marriage & Family Therapist
- Maplewood, NJ
National Provider Identifier
1437366606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FI00139500
- Practice address
- 169 Maplewood Ave
Suite 1
Maplewood, NJ 07040-2107 - Phone
- (973) 762-6800
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00139500 | NJ | Primary |
Addresses
Primary practice location
169 Maplewood Ave
Suite 1
Maplewood, NJ 07040-2107
Mailing address
23 Hickory Drive
Maplewood, NJ 07040-2107
Phone (973) 762-0289
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37FI00139500 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437366606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HICKORY DRIVE",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402107",
"telephone_number": "973-762-0289",
"fax_number": "973-762-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MAPLEWOOD AVE",
"address_2": "SUITE 1",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402107",
"telephone_number": "973-762-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "RONNIE",
"middle_name": "PHYLLIS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00139500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.