Jerry Stolzenberg, M.D.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

14787 Issued in FL

Practice address

10691 Hawks Vista St
Plantation, FL 33324-8211

Phone

(954) 916-9188

Fax

(954) 916-3656

NPI assigned

Oct 4, 2006

Last updated

Mar 10, 2009By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1578658258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10691 HAWKS VISTA ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333248211",
            "telephone_number": "954-916-9188",
            "fax_number": "954-916-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 HAWKS VISTA ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333248211",
            "telephone_number": "954-916-9188",
            "fax_number": "954-916-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZENBERG",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "14787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Michele Stewart, ARNP
• Summer Stewart
• Stephen M Stillman, PH.D.
• Sharon Stillson, LCSW
• Arika Stlot
• Peighton Stone, MS, RDN
• Dana Bari Storch, DMD
• Tate Storey, CAA
• Denise B Strauch, PH.D.
• Dorothy Viola Straw, M.D.

• Nuclear Radiology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Nuclear Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.