Active NPI
Ian Scott Stern, DC, CCN, CSCS
- Nutrition Chiropractor
- Brooklyn, NY
National Provider Identifier
1881742997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X008519-1
- Practice address
- 346 91St St
Brooklyn, NY 11209-5854 - Phone
- (718) 680-6156
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X008519-1 | NY | Primary |
Addresses
Primary practice location
346 91St St
Brooklyn, NY 11209-5854
Mailing address
346 91St St
Brooklyn, NY 11209-5854
Phone (718) 680-6156
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5804507 | Other | NY | GHI |
| X86882 | Other | NY | EMPIRE BCBS |
| P559457 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120615000145 | NY | Practitioner - Chiropractic | 9335303742 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
346 91St St
Brooklyn, NY 11209-5854
Phone (718) 680-6156
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008519-1 | NY | MD | Nutrition Chiropractor |
| 008519 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881742997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 91ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095854",
"telephone_number": "718-680-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 91ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112095854",
"telephone_number": "718-680-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "IAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC, CCN, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X008519-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5804507",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "X86882",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P559457",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.