Active NPI
Robert A Stern, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Boston, MA
National Provider Identifier
1790847366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 70620
- Practice address
- 11 Nevins St
Suite 504
Boston, MA 02135-3514 - Phone
- (617) 787-9877
- Fax
- (617) 787-6180
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 70620 | MA | Primary |
Addresses
Primary practice location
11 Nevins St
Suite 504
Boston, MA 02135-3514
Mailing address
11 Nevins St
Suite 504
Boston, MA 02135-3514
Phone (617) 787-9877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790847366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NEVINS ST",
"address_2": "SUITE 504",
"city": "BOSTON",
"state": "MA",
"postal_code": "021353514",
"telephone_number": "617-787-9877",
"fax_number": "617-787-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NEVINS ST",
"address_2": "SUITE 504",
"city": "BOSTON",
"state": "MA",
"postal_code": "021353514",
"telephone_number": "617-787-9877",
"fax_number": "617-787-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "MA",
"license": "70620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- 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.