Jeremy Ben Stern, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

76678 Issued in MA

Practice address

300C Faunce Corner Rd
N Dartmouth, MA 02747-1257

Phone

(508) 998-6100

Fax

(508) 998-1411

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• David E. Adelberg MD Inc.

  • Orthopaedic Surgery Physician
  • N Dartmouth, MA
  • NPI 1750433579

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1528063872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300C FAUNCE CORNER RD",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-998-6100",
            "fax_number": "508-998-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300C FAUNCE CORNER RD",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-998-6100",
            "fax_number": "508-998-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "JEREMY",
        "middle_name": "BEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "76678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9778837",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101681",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200023245",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Raposo, C.O.T.A.
• Sleep Health Centers LLC
• South Coast Orthopedic Technology
• Wendy Stacy
• Lori B Stanovitch
• Nicole Hughes Talbot, COTA/L
• Johnny Tang, MD
• Deborah P Taylor, LMHC
• Kathleen P Thornton, ATC
• Ashley Ryan Toomey

• Sports Medicine (Orthopaedic Surgery) Physician in N Dartmouth, MA
• Providers in N Dartmouth, MA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.