Active NPI
James D Stern MD PA
- Specialist
- Fort Lauderdale, FL
National Provider Identifier
1720487218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME57379
- Legal business name
- JAMES D STERN MD PA
- Practice address
- 2699 Stirling Rd Ste B101
Ft Lauderdale, FL 33312-6546 - Phone
- (954) 989-5001
- Fax
- (954) 653-1472
- NPI assigned
- Aug 20, 2014
- 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
- Mrs. Jody Komroff
- Title
- Office Manager
- Phone
- (954) 240-3313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME57379 | FL | Primary |
Addresses
Primary practice location
2699 Stirling Rd Ste B101
Ft Lauderdale, FL 33312-6546
Mailing address
1483 Commodore Way
Hollywood, FL 33019-5062
Phone (954) 234-3899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378408800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Fort Lauderdale, FL
- NPI 1851331920
-
- Cardiovascular Disease Physician
- Aventura, FL
- NPI 1669428082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1720487218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 COMMODORE WAY",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330195062",
"telephone_number": "954-234-3899",
"fax_number": "954-653-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 STIRLING RD STE B101",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333126546",
"telephone_number": "954-989-5001",
"fax_number": "954-653-1472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES D STERN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "KOMROFF",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-240-3313",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME57379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378408800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.