Provider Demographics
NPI:1710961024
Name:STONE, JAY H (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:H
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-7330
Mailing Address - Country:US
Mailing Address - Phone:732-473-0158
Mailing Address - Fax:732-473-0033
Practice Address - Street 1:367 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-7330
Practice Address - Country:US
Practice Address - Phone:732-473-0158
Practice Address - Fax:732-473-0033
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA04961200207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0640905Medicaid
NJ0640905Medicaid
NJ050746Medicare PIN
NJE55069Medicare UPIN