Individual provider Active NPI

Jeffrey A Stock, MD

  • Pediatric Urology Physician
  • New York, NY
National Provider Identifier
1659331932
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
195605-1 Issued in NY
Practice address
5 E 98TH St
Box 1272
New York, NY 10029-6501
Phone
(212) 241-4812
NPI assigned
Mar 23, 2006
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 195605-1 NY Primary

Addresses

Primary practice location

5 E 98TH St
Box 1272
New York, NY 10029-6501

Mailing address

5 E 98TH St
6TH Floor
New York, NY 10029-6501
Phone (212) 241-4812

Other identifiers 1

IdentifierTypeStateIssuer
01798094MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000916 NY Practitioner - Urology 7719978527 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195605-1NYMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 23, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 24, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 23, 2013 Accepting new patients
Urology Specialty Care PA Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients

Locations

339 Hicks St
Brooklyn Heights, NY 11201
Phone (718) 780-1538

10 Union Sq E
Ste 3A
New York, NY 10003
Phone (212) 844-8100

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
#10
New York, NY 10029
Phone (212) 241-5656

5 E 98th St
#1272
New York, NY 10029
Phone (212) 241-3743

5 E 98th St
Fl 10
New York, NY 10029
Phone (212) 241-2125

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410

638 Columbus Ave
New York, NY 10024
Phone (212) 241-2112

Networks

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

Organizations & group practices 9

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1659331932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1272",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "195605-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01798094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.