Active NPI
Marshall M Stone, M.D,
- Pediatric Surgery Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- ME58011
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063855200 | Medicaid | FL | |
| 257033500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Medical Center Physicians Group Inc | Pediatric Surgery | Current | Accepting new patients |
| Jupiter Medical Center Physicians Group Inc | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
dba JMC Community Care
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.