Ilana Rose Stock, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA10579000 Issued in NJ

Practice address

350 Ramapo Valley Rd
Oakland, NJ 07436-2702

Phone

(201) 651-0404

Fax

(201) 651-0909

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ilana.stock@tenpeds.eclinicaldirectplus.com

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1770939662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FRANKLIN ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702005",
            "telephone_number": "201-569-2400",
            "fax_number": "201-569-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362702",
            "telephone_number": "201-651-0404",
            "fax_number": "201-651-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118035240",
            "country_code": "US",
            "telephone_number": "310-740-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "ILANA",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10579000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Staropoli, BCBA, LBA
• Connor Starr, DC
• Evelyn S. Stein, LCSW
• Elizabeth Steussing, BCBA
• Amy Stevens, MD
• Christina Stokes, BCBA
• Summit Medical Group PA (CityMD)
• Summit Medical Group PA (Citymd)
• Jakub Syniec, COTA/L
• Shahrzad Tajtaraghi, DDS

• Pediatrics Physician in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.