Healthcare Provider Details

I. General information

NPI: 1740104348
Provider Name (Legal Business Name): JORDAN C. STERN M.D.P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 MADISON AVE STE 15025
NEW YORK NY
10016-5101
US

IV. Provider business mailing address

5444 WESTHEIMER RD STE 1000
HOUSTON TX
77056-5318
US

V. Phone/Fax

Practice location:
  • Phone: 212-683-0174
  • Fax: 646-731-6880
Mailing address:
  • Phone: 212-683-0174
  • Fax: 646-731-6880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JORDAN C. STERN
Title or Position: PRESIDENT
Credential: MD
Phone: 212-683-0174