Mary C Stom, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA04497000 Issued in NJ

Practice address

35 Kings Hwy E
Ste 105
Haddonfield, NJ 08033-2009

Phone

(856) 428-8992

Fax

(856) 428-9614

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750494019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KINGS HWY E",
            "address_2": "STE 105",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332009",
            "telephone_number": "856-428-8992",
            "fax_number": "856-428-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 KINGS HWY E",
            "address_2": "STE 105",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332009",
            "telephone_number": "856-428-8992",
            "fax_number": "856-428-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOM",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA04497000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shlomo M. Stemmer, M.D.
• Stephen Leonard Stern, PH.D.
• Steven Bisgaier, PSYD LLC
• Melissa C Stevens, PSY.D.
• Matthew F Stoltz, MA
• Carolyn Storey, M.A.
• Patrick P Stumpo, D.O.
• Success by Lifestyle
• Karen Rebecca Suchin, MD
• Miriam Elizabeth Sullivan, PHD, LCSW

• Nephrology Physician in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.