Active NPI
Seth Stoller LLC
- Neurology Physician
- Summit, NJ
National Provider Identifier
1649476854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA07912600
- Legal business name
- SETH STOLLER LLC
- Practice address
- 11 Overlook Rd
Suite B110
Summit, NJ 07901-3577 - Phone
- (908) 522-2709
- Fax
- (908) 273-1553
- NPI assigned
- Jun 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Seth Stoller, M.D.
- Title
- Director
- Phone
- (212) 563-2497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA07912600 | NJ | Primary |
Addresses
Primary practice location
11 Overlook Rd
Suite B110
Summit, NJ 07901-3577
Mailing address
158 W 27TH St
11TH Floor South
New York, NY 10001-6216
Phone (212) 563-2497
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222300800000",
"number": "1649476854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 W 27TH ST",
"address_2": "11TH FLOOR SOUTH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016216",
"telephone_number": "212-563-2497",
"fax_number": "212-563-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 OVERLOOK RD",
"address_2": "SUITE B110",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013577",
"telephone_number": "908-522-2709",
"fax_number": "908-273-1553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SETH STOLLER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2008-09-25",
"status": "A",
"authorized_official_last_name": "STOLLER",
"authorized_official_first_name": "SETH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "212-563-2497",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA07912600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.