Individual provider Active NPI

Jesse Andrew Stoff, MD

  • Allergy & Immunology Physician
  • Glen Cove, NY
National Provider Identifier
1477637312
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
150159 Issued in NY
Practice address
70 Glen St
Suite 300
Glen Cove, NY 11542-2855
Phone
(516) 759-4200
Fax
(516) 759-7600
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 150159 NY Primary
Family Medicine Physician 207Q00000X 150519 NY

Addresses

Primary practice location

70 Glen St
Suite 300
Glen Cove, NY 11542-2855

Mailing address

PO Box 640247
Oakland Gardens, NY 11364-0247
Phone (520) 241-1944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 1, 2013 through Feb 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
150159NYMDAllergy & Immunology Physician
150519NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citywide Family Practice Medical, P.C. Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Integrative Medicine of New York, PLLC Allergy & Immunology PastSince Jun 21, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1477637312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640247",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113640247",
            "telephone_number": "520-241-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN ST",
            "address_2": "SUITE 300",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422855",
            "telephone_number": "516-759-4200",
            "fax_number": "516-759-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFF",
        "first_name": "JESSE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "150159",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "150519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.