Active NPI
Debbie Elizabeth Stern, BS
- Pharmacist
- Morganville, NJ
National Provider Identifier
1891964094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047200
- Practice address
- 54 Millay Rd
Morganville, NJ 07751-1452 - Phone
- (732) 617-1255
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047200 | NY | Primary |
Addresses
Primary practice location
54 Millay Rd
Morganville, NJ 07751-1452
Mailing address
2875 Richmond Ave
Staten Island, NY 10314-5811
Phone (718) 761-8484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047200 | Other | NY | PHARMACIST |
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047200 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathmark Stores Inc | Past | Accepting new patients | |
| Pathmark Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Staten Island, NY
- NPI 1558461590
-
- Pharmacy
- Staten Island, NY
- NPI 1699872457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1891964094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145811",
"telephone_number": "718-761-8484",
"fax_number": "718-370-8863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MILLAY RD",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511452",
"telephone_number": "732-617-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "DEBBIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "047200",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.