Individual provider Active NPI

Marjorie K Stock, M.D.

  • Sleep Medicine (Otolaryngology) Physician
  • Derry, NH
National Provider Identifier
1518914209
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
9663 Issued in NH
Practice address
14A Tsienneto Road
Suite 200
Derry, NH 03038
Phone
(603) 404-6800
Fax
(603) 686-7244
NPI assigned
May 28, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) Physician 207YS0012X 9663 NH Primary
Otolaryngology Physician 207Y00000X 77163 MA
Otolaryngology Physician 207Y00000X 9663 NH

Addresses

Primary practice location

14A Tsienneto Road
Suite 200
Derry, NH 03038

Mailing address

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8000

Other practice location 1

130 Tarrytown Rd
Manchester, NH 03103-2713
Phone (603) 669-0831

Other practice location 2

166 Kinsley St Ste 302
Nashua, NH 03060-3676
Phone (603) 595-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20051114001229 NH Practitioner - Otolaryngology 9830118355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Massachusetts Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians

Practice addresses (Care Compare)

14 A Tsienneto Rd
Suite 200
Derry, NH 03038-1505
Phone (603) 404-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77163MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians LLC CurrentSince Aug 26, 2024 Accepting new patients
Core Physicians, LLC Otolaryngology CurrentSince Aug 26, 2024 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Incare LLC CurrentSince Feb 1, 2022 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Lahey Clinic, Inc Past Accepting new patients
Incare Tufts PLLC PastSince Mar 1, 2021 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

14A Tsienneto Rd
Derry, NH 03038
Phone (603) 404-6800

14A Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 404-6800

15 Tsienneto Rd
Derry, NH 03038
Phone (603) 399-6998

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060

166 Kinsley St
Ste 302
Nashua, NH 03060
Phone (603) 228-5935

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • Direct secure messaging: mstock451754@direct.bilh.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1518914209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14A TSIENNETO ROAD",
            "address_2": "SUITE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-404-6800",
            "fax_number": "603-686-7244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Tarrytown Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031032713",
            "country_code": "US",
            "telephone_number": "603-669-0831",
            "fax_number": "603-669-0477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Kinsley St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603676",
            "country_code": "US",
            "telephone_number": "603-595-4800",
            "fax_number": "603-598-8307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "MARJORIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NH",
            "license": "9663",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "77163",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NH",
            "license": "9663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.