Healthcare Provider Details

I. General information

NPI: 1861303406
Provider Name (Legal Business Name): JORDAN C. STERN M.D.P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 FAIRFAX DR STE 600
ARLINGTON VA
22203-1665
US

IV. Provider business mailing address

169 MADISON AVE STE 15025
NEW YORK NY
10016-5101
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