Individual provider Active NPI

Marshall M Stone, M.D,

  • Pediatric Surgery Physician
  • Jupiter, FL
National Provider Identifier
1649255324
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME58011 Issued in FL
Practice address
1002 S Old Dixie Hwy Ste 101
Jupiter, FL 33458-7202
Phone
(561) 852-0038
Fax
(561) 852-2261
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME58011 FL Primary

Addresses

Primary practice location

1002 S Old Dixie Hwy Ste 101
Jupiter, FL 33458-7202

Mailing address

1002 S Old Dixie Hwy Ste 101
Jupiter, FL 33458-7202
Phone (561) 852-0038

Other identifiers 2

IdentifierTypeStateIssuer
063855200MedicaidFL
257033500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041108000070 FL Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - General Surgery 5092778753 Reassigns benefits to 1 organization
I20251113002690 TN Practitioner - Pediatric MedicinePractitioner - General Surgery 5092778753

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc Pediatric Surgery CurrentSince Feb 1, 2020 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Feb 1, 2020 Accepting new patients

Locations

10383 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone (561) 799-7272

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1004 S Old Dixie Hwy
Ste 301A
Jupiter, FL 33458
Phone (561) 852-0038

1002 S Old Dixie Hwy
Ste 303
Jupiter, FL 33458
Phone (561) 744-8319

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1002 S Old Dixie Hwy
Ste 101
Jupiter, FL 33458
Phone (561) 743-3065

12957 Palms West Dr
Ste 103
Loxahatchee, FL 33470
Phone (561) 529-4494

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

Interoperability endpoints

  • Direct secure messaging: marshall.stone@jmcpg.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649255324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-852-0038",
            "fax_number": "561-852-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-852-0038",
            "fax_number": "561-852-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MARSHALL",
        "middle_name": "M",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME58011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063855200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257033500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.