Michelle Cecelia Jardine, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

207582 Issued in NY

Practice address

213 Hallock Rd
Suite 6
Stony Brook, NY 11790-3000

Phone

(631) 941-1000

Fax

(631) 941-1010

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

EndocrinologyAlso: Urology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
• Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085
• O'Connor Hospital Hospital, Delhi, NY, CCN 331305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.jardine@sbcm.cernerdirect.com
• Direct secure messaging: mjardine564402@bassett.direct-ci.net

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.

• Mary Imogene Bassett Hospital

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment Care Compare group NPD
• Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
  • NPI 1891862579
  Medicare reassignment
• Little Falls Hospital

  • Critical Access Hospital
  • Little Falls, NY
  • NPI 1558321919
  Medicare reassignment
• O'Connor Hospital

  • Critical Access Hospital
  • Delhi, NY
  • NPI 1891728192
  Medicare reassignment
• Mary Imogene Bassett Hospital

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aurelia Osborn Fox Memorial Hospital Society

  • General Acute Care Hospital
  • Oneonta, NY
  • NPI 1578529954
  Care Compare affiliation
• Mary Imogene Bassett Hospital

  • Rural Acute Care Hospital
  • Cooperstown, NY
  • NPI 1780600577
  Care Compare affiliation
• O'Connor Hospital

  • Critical Access Hospital
  • Delhi, NY
  • NPI 1891728192
  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1497740781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022313",
            "telephone_number": "631-941-1000",
            "fax_number": "631-941-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD",
            "address_2": "SUITE 6",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-941-1000",
            "fax_number": "631-941-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDINE",
        "first_name": "MICHELLE",
        "middle_name": "CECELIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "207582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Hanni Jang, D.O.
• Maheshwar Chandrahas Jani, PA
• Janine Stiene Speech Language Pathologist P.C.
• Caitlin Janosick
• Dale M Janson, PA
• Alexander Jares, MD, PHD
• Michelle Jaromy, DO
• Ronald Jasiewicz
• Joreene Jasmin
• Jason Halegoua, M.D., P.C.

• Endocrinology, Diabetes & Metabolism Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.