JACQUELINE STEPHEN MD LLC
NPI 1083099162
Obstetrics & Gynecology in Brookline, MA

Active since July 30, 2015CLIA 22D2123104 · Waiver
55 POND AVE, BROOKLINE, MA 02445(617) 232-0202(720) 361-7739 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Stephen Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE STEPHEN MD LLC (NPI 1083099162) is a healthcare organization registered as an obstetrics & gynecology in Brookline, Massachusetts and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Jacqueline Antonia Stephen, Physician, as its authorized official.

NPPES Registry Identity

NPI1083099162
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJACQUELINE STEPHEN MD LLC
Location Address55 POND AVEBrookline, MA 02445-7170
Mailing Address1180 Beacon St Ste 3dBrookline, MA 02446-3806 · (617) 232-0202 · Fax (720) 361-7739
Fax(720) 361-7739
Organization SubpartNo
Authorized OfficialJacqueline Antonia StephenPhysician · (617) 232-0202
Enumeration DateJuly 30, 2015
Last NPPES UpdateApril 16, 2018
NPI 1083099162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
55 POND AVE, Brookline, MA 02445

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2123104

Jacqueline Stephen MD · Brookline, MA
Active · expires Dec 12, 2026
CLIA Number22D2123104
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorJacqueline Stephen
Laboratory Phone(617) 232-0202
Laboratory LocationJacqueline Stephen MD1180 Beacon Street Suite 3D, Brookline, MA 02446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
55 POND AVE, SUITE 201E
BROOKLINE, MA 02445
Obstetrics & Gynecology (Gynecology)
55 POND AVE
BROOKLINE, MA 02445
Radiology (Diagnostic Radiology)
55 POND AVE, SUITE 201E
BROOKLINE, MA 02445
Radiology (Diagnostic Radiology)
55 POND AVE, SUITE 201E
BROOKLINE, MA 02445
Obstetrics & Gynecology (Gynecology)
55 POND AVE
BROOKLINE, MA 02445
Obstetrics & Gynecology
55 POND AVE
BROOKLINE, MA 02445
Radiology (Diagnostic Radiology)
55 POND AVE, SUITE 201E
BROOKLINE, MA 02445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Stephen MD LLC's NPI number?

The NPI number for Jacqueline Stephen MD LLC is 1083099162. It was assigned to this organization in the NPPES registry on July 30, 2015.

Where is Jacqueline Stephen MD LLC located?

Jacqueline Stephen MD LLC is located at 55 Pond Ave, Brookline, MA 02445. The listed phone number is (617) 232-0202.

What is Jacqueline Stephen MD LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Jacqueline Stephen MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2123104) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacqueline Stephen MD LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacqueline Stephen MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Stephen MD LLC was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.