Jeremy Stern MD Inc.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

76678 Issued in MA

Legal business name

JEREMY STERN MD INC.

Practice address

300C Faunce Corner Rd
N Dartmouth, MA 02747-1257

Phone

(508) 998-6100

Fax

(508) 998-1411

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Ben Stern, M.D.

Title

President

Phone

(508) 998-6100

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David E Adelberg, MD

  • Orthopaedic Surgery Physician
  • N Dartmouth, MA
  • NPI 1053316356
  NPD (past)
• Jung Mi Lee Haisman, MD

  • Surgery of the Hand (Surgery) Physician
  • Dartmouth, MA
  • NPI 1447251152
  NPD (past)
• Melissa Jacqueline Martin

  • Family Nurse Practitioner
  • Taunton, MA
  • NPI 1215994173
  NPD (past)
• Aldo R Beretta, MD

  • Orthopaedic Surgery Physician
  • Bonita Springs, FL
  • NPI 1376652479
  NPD (past)
• Edmund Thomas Carroll III, D.O.

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1629029749
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1730160458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300C FAUNCE CORNER RD",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-998-6100",
            "fax_number": "508-998-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300C FAUNCE CORNER RD",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471257",
            "telephone_number": "508-998-6100",
            "fax_number": "508-998-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY STERN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-998-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "76678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101681",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200023245",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9778837",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Henderson, M.D.
• Edward Herlihy, M.D.
• Infusion Resource, LLC
• Franceska M Jean Pierre
• Sarah Jenkins
• John Magalhaes and Associates, Inc.
• Douglas Keach, O.D.
• James Edward Kearns VI, D.M.D.
• Kevin W. Quinn, DMD, P.C.
• Mary Kibart, CRNA

• Sports Medicine (Orthopaedic Surgery) Physician in N Dartmouth, MA
• Providers in N Dartmouth, MA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.