MEDICARE: MR. JAMES BASIL STUMP MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	25MA07854200	NJ
2	207L00000X	Anesthesiology Physician	ME142265	FL
3	207L00000X	Anesthesiology Physician	228546	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2K2874	OTHER	NJ	HEALTHNET
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2426392000	OTHER	NJ	AMERIHEALTH PRODUCTS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437146834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES BASIL STUMP MD

Provider Business Mailing Address
First Line	:	3 GLENCAIRN CT
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6838
Country	:	US
Telephone Number	:	732-259-4848
Fax Number	:

Provider Business Practice Location Address
First Line	:	10101 FOREST HILL BLVD
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6103
Country	:	US
Telephone Number	:	561-798-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	12/05/2025

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