Individual provider Active NPI

Yaakov M Stern, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1548815608
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
100963-01 Issued in NY
Practice address
3319 Avenue N
Brooklyn, NY 11234-2605
Phone
(718) 258-3300
Fax
(718) 258-3301
NPI assigned
Aug 6, 2019
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 100963-01 NY Primary

Addresses

Primary practice location

3319 Avenue N
Brooklyn, NY 11234-2605

Mailing address

3319 Avenue N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909000975 NY Practitioner - Physical Therapist in Private Practice 0042549594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3319 Ave N
Brooklyn, NY 11234-2605
Phone (718) 258-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100963-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Feb 13, 2020 Accepting new patients
Parcare Community Health Network Inc CurrentSince Aug 8, 2020 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Mar 30, 2020 Accepting new patients
Parcare Community Health Network Inc CurrentSince Aug 8, 2020 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

1 Hanson Pl
Ste 401
Brooklyn, NY 11243
Phone (718) 230-0631

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1548815608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300",
            "fax_number": "718-258-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 AVENUE N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342605",
            "telephone_number": "718-258-3300",
            "fax_number": "718-258-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "YAAKOV",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "100963-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.