Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Edwin Kuperstock, MD

Individual provider Otolaryngology Physician · NPI 1700145182

Jacob Edwin Kuperstock, MD is an Otolaryngology in Fairfax, Virginia. Graduated from Stanford University School of Medicine in 2013, 13 years ago. Practices with Otolaryngology Associates PC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Virginia.

Years since qualifying
13
Trained at
Stanford University School of Medicine
Licensed in
MA, VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3801 University Dr Ste 300
Fairfax, VA 22030
Phone: (703) 383-8130
Fax: (703) 383-7355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 830 Harrison Ave Ste 1400, Boston, MA 02118-2905 — (617) 638-8124

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 0101266254 (VA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 255486 (MA)

Record details

NPI number1700145182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2012
Last updated in NPPESJuly 24, 2019
Mailing address3801 University Dr Ste 300, Fairfax, VA 22030-2503

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Otolaryngology Associates Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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