Stephanie L Bivona, MD
Pediatrics in Medford, Massachusetts
1336600279- Practice location
- 101 Main St Ste 202, Medford, MA 02155-4530
- Phone
- 781-396-1288
- Fax
- —
- Last updated
- January 18, 2024
Stephanie Lee Bivona is a Pediatrics based in Medford, MA. Stephanie Lee Bivona practices in Medford, MA and has the professional credentials of MD. The NPI Number for Stephanie Lee Bivona is 1336600279 and holds a License No. 315905 (NY). The current practice location address for Stephanie Lee Bivona is 101 Main St Ste 202, Medford, MA 02155-4530 and can be reached out via phone at 781-396-1288.
Provider Profile Details
- NPI Number
- 1336600279
- Provider Name
- Stephanie Lee Bivona
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Main St Ste 202, Medford, MA 02155-4530
- Phone Number
- 781-396-1288
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 25, 2019
- Last Update Date
- January 18, 2024
- Certification Date
- January 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Main St Ste 202
Medford, MA 02155-4530 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4530
- Phone Number
- 781-396-1288
Provider Business Mailing Address Details
- Address
- 101 Main St Ste 202
Medford, MA 02155-4530 - City
- Medford
- State
- MA
- Zip
- 02155-4530
License Information
- License Number (1)
- 315905
- License State (1)
- NY
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 1016341
- License State (2)
- MA
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Medford, MA
View all Pediatrics providers in Medford →Frequently Asked Questions
What is the NPI number of Stephanie L Bivona, MD?
The NPI number of Stephanie L Bivona, MD is 1336600279. It was assigned on March 25, 2019 and is currently active in the NPPES registry.
What is the specialty of Stephanie L Bivona, MD?
Stephanie L Bivona, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 315905.
Where does Stephanie L Bivona, MD practice?
The practice location is 101 Main St Ste 202, Medford, MA 02155-4530. The office can be reached at 781-396-1288 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336600279 directly on the NPPES registry website.