Individual provider Active NPI

Doron Sol Stember, M.D.

  • Urology Physician
  • New York, NY
National Provider Identifier
1902064124
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
241937 Issued in NY
Practice address
1275 York Ave
Box 435
New York, NY 10065-6007
Phone
(646) 422-4359
Fax
(212) 988-0768
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 241937 NY Primary

Addresses

Primary practice location

1275 York Ave
Box 435
New York, NY 10065-6007

Mailing address

PO Box 95000-2227
Philadelphia, PA 19195-2227
Phone (646) 422-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000889 NY Practitioner - Urology 8022149756 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
241937NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Urology CurrentSince Jan 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Urology CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients

Locations

1275 York Ave
#435
New York, NY 10065
Phone (212) 639-5738

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

150 E 42nd St
Fl 5
New York, NY 10017
Phone (646) 605-4155

10 Union Sq E
#3A
New York, NY 10003
Phone (212) 241-4812

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1902064124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2227",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952227",
            "telephone_number": "646-422-4359",
            "fax_number": "212-988-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "address_2": "BOX 435",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "646-422-4359",
            "fax_number": "212-988-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMBER",
        "first_name": "DORON",
        "middle_name": "SOL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "241937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.