JAY IRVING STACK (NPI# 1245325026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245325026 |
| Entity Type | Individual |
| Full Name | JAY IRVING STACK |
| Credential | M.D. |
| Practice Address |
95 Madison Ave Morristown NJ 07960-6092 |
| Mailing Address |
2 Franklin Pl Morristown NJ 07960-5305 |
| Practice Telephone | 9737755151 |
| Practice Fax Number | 9086737336 |
| Mailing Telephone | 9732677673 |
| Mailing Fax Number | 9732673270 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25MA03875700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 244970602 | 05 |
| Street Address |
95 MADISON AVE |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428611 | Gary Robert Weine | Internal Medicine | 95 Madison Ave, Suite 405, Morristown, NJ 07960-6092 | 2005-06-21 |
| 1396195426 | Danielle Murray | Physical Therapist | 95 Madison Ave, Suite 109a, Morristown, NJ 07960-6092 | 2016-06-20 |
| 1568826113 | Scott Quackenbush | Nurse Practitioner | 95 Madison Ave, Morristown, NJ 07960-6092 | 2016-04-11 |
| 1417343179 | Nicole Patrone | Family Medicine | 95 Madison Ave, Morristown, NJ 07960-6092 | 2015-04-09 |
| 1346638350 | Andrew Michael Parziale | Internal Medicine | 95 Madison Ave, Morristown, NJ 07960 | 2014-12-27 |
| 1407260995 | Summit Medical | Internal Medicine | 95 Madison Ave, Suite 2a, Morristown, NJ 07960-6092 | 2014-06-12 |
| 1073946695 | Nj Oculoplastic Consultants, LLC | Ophthalmology | 95 Madison Ave, Suite 110, Morristown, NJ 07960-6092 | 2013-08-19 |
| 1750721833 | Cheryl Lynn Lyons | Nurse Practitioner | 95 Madison Ave, Suite A00, Morristown, NJ 07960-6092 | 2013-07-03 |
| 1487909693 | Robert A Braunstein Md, Pa | Ophthalmology | 95 Madison Ave, Suite 110, Morristown, NJ 07960-6092 | 2012-07-14 |
| 1346507357 | Andrea D Foy | Nurse Practitioner | 95 Madison Ave, Suite A00, Morristown, NJ 07960-6092 | 2012-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1164517918 | Paul Leonard Fine | Internal Medicine | 2 Franklin Pl, Morristown, NJ 07960-5305 | 2006-10-04 |
| 1336233956 | Barry A Eppinger | Internal Medicine | 131 Madison Ave Ste 3, Morristown, NJ 07960-7360 | 2006-10-03 |
| 1649361692 | John C Saldarini | Internal Medicine | 435 South St Ste 330, Morristown, NJ 07960-6472 | 2006-09-27 |
| 1881707594 | Alan N Charney | Internal Medicine | 47 Laura Ln, Morristown, NJ 07960-6428 | 2006-08-16 |
| 1992702781 | Mohammed I Ahmed | Internal Medicine | 1530 W Andrew Johnson Hwy, Morristown, TN 37814-3733 | 2005-07-07 |
| 1083951826 | Advanced Nephrology & Hypertension, LLC | Internal Medicine | 26 Madison Ave, Suite 1, Morristown, NJ 07960-7310 | 2013-01-14 |
| 1932375581 | Shubho Ranjan Sarkar | Internal Medicine | 131 Madison Ave Ste 3, Morristown, NJ 07960-7360 | 2008-05-05 |
| 1073785150 | Morris Renal Associates | Internal Medicine | 21 Perry St, Morristown, NJ 07960-9446 | 2008-03-28 |
| 1639265705 | Nephrology-hypertension Associates of Morris County, Pa | Internal Medicine | 2 Franklin Pl, Morristown, NJ 07960-5305 | 2006-10-05 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.