Individual provider Active NPI

Jeffrey Howard Stern, MD

  • Specialist
  • Albany, NY
National Provider Identifier
1487685228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1365 Washington Ave
Suite 101
Albany, NY 12206-1098
Phone
(518) 437-1111
Fax
(518) 435-1114
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1365 Washington Ave
Suite 101
Albany, NY 12206-1098

Mailing address

1365 Washington Ave
Suite 101
Albany, NY 12206-1098
Phone (518) 437-1111

Other identifiers 1

IdentifierTypeStateIssuer
01482508MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070721000034 NY Practitioner - Ophthalmology 9830290790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Region Retina, PLLCGroup PAC ID 1254418411, 3 clinicians

Practice addresses (Care Compare)

1365 Washington Ave
Albany, NY 12206-1098
Phone (518) 437-1111

5 Mountain Ledge
Wilton, NY 12831-1856
Phone (518) 437-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Retina, PLLC Specialist CurrentSince Apr 1, 2008 Accepting new patients
Jeffrey H Stern, MD, PHD, LLC Specialist PastSince Jul 2, 2007 Accepting new patients

Locations

1365 Washington Ave
Ste 10
Albany, NY 12206
Phone (518) 482-4838

1365 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 435-1300

5 Mountain Ledge
Wilton, NY 12831
Phone (518) 437-1111

12 Mountain Ledge
Ste 101
Wilton, NY 12831

12 Mountain Ledge
Wilton, NY 12831
Phone (518) 580-0080

Interoperability endpoints

  • Direct secure messaging: jstern@capitalregionretina.medentdirect.com

Organizations & group practices 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487685228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061098",
            "telephone_number": "518-437-1111",
            "fax_number": "518-435-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WASHINGTON AVE",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061098",
            "telephone_number": "518-437-1111",
            "fax_number": "518-435-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01482508",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.