NPIMap

Organization Active NPI

Jeremy Stern MD Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • N Dartmouth, MA
National Provider Identifier
1730160458
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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.NPI 1528063872
Title
President
Phone
(508) 998-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 76678 MA Primary

Addresses

Primary practice location

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

Mailing address

300C Faunce Corner Rd
N Dartmouth, MA 02747-1257
Phone (508) 998-6100

National Provider Directory

National Provider Directory

Locations

300 Faunce Corner Rd
#C
North Dartmouth, MA 02747
Phone (508) 998-6100

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

  • 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.