Organization Active NPI

Jay I Stylman MD PC

  • Surgery Physician
  • Kearny, NJ
National Provider Identifier
1487834990
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA52191 Issued in NJ
Legal business name
JAY I STYLMAN MD PC
Practice address
847 Kearny Ave
Kearny, NJ 07032-3209
Phone
(201) 991-0041
Fax
(201) 991-5305
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Jay I Stylman, MDNPI 1760414700
Title
President
Phone
(201) 991-0041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA52191 NJ Primary

Addresses

Primary practice location

847 Kearny Ave
Kearny, NJ 07032-3209

Mailing address

847 Kearny Ave
Kearny, NJ 07032-3209
Phone (201) 991-0041

Other identifiers 1

IdentifierTypeStateIssuer
0272205MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1487834990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323209",
            "telephone_number": "201-991-0041",
            "fax_number": "201-991-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323209",
            "telephone_number": "201-991-0041",
            "fax_number": "201-991-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY I STYLMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "STYLMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-991-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA52191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.