Individual provider Active NPI

Marion J. Stoj, M.D.

  • Ophthalmology Physician
  • Manchester, CT
National Provider Identifier
1457334195
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24415 Issued in CT
Practice address
191 Main St
Manchester, CT 06042-3556
Phone
(860) 646-7704
Fax
(860) 647-7340
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24415 CT Primary

Addresses

Primary practice location

191 Main St
Manchester, CT 06042-3556

Mailing address

191 Main St
Manchester, CT 06042-3556
Phone (860) 646-7704

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mstoj12582@direct.stfranciscare.org Direct
Direct Messaging Address mstoj@retinact.intellechartdirect.net Direct

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

State licenses

LicenseStateTypeSpecialty
24415CTMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1457334195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423556",
            "telephone_number": "860-646-7704",
            "fax_number": "860-647-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423556",
            "telephone_number": "860-646-7704",
            "fax_number": "860-647-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJ",
        "first_name": "MARION",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "24415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstoj12582@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "114 Woodland St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstoj@retinact.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Retina Consultants, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "191 Main St",
            "city": "Manchester",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060423556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.