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

Stephanie Lee Bivona, MD

Individual provider Pediatrics Physician · NPI 1336600279

Stephanie Lee Bivona, MD is a Pediatrics Physician in Medford, Massachusetts. Licensed in Massachusetts and New York. Registered with an NPI since 2019.

Licensed in
MA, NY
In the registry since
2019
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

101 Main St Ste 202
Medford, MA 02155-4530
Phone: (781) 396-1288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1016341 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 315905 (NY)

Record details

NPI number1336600279
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

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