Individual provider Active NPI

Marna Rena Sternbach, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1053353532
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD026343E Issued in PA
Practice address
1700 N Broad St, 2ND Floor
Temple University - Tuttleman Counseling Services
Philadelphia, PA 19121-3429
Phone
(215) 204-7276
Fax
(215) 204-5419
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD026343E PA Primary

Addresses

Primary practice location

1700 N Broad St, 2ND Floor
Temple University - Tuttleman Counseling Services
Philadelphia, PA 19121-3429

Mailing address

1500 Market St
24TH Floor West Tower
Philadelphia, PA 19102-2100
Phone (215) 255-3529

Other identifiers 1

IdentifierTypeStateIssuer
000883320MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525002571 PA Order and Referring Only - PsychiatryPractitioner - Psychiatry 8123079191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1053353532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET ST",
            "address_2": "24TH FLOOR WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022100",
            "telephone_number": "215-255-3529",
            "fax_number": "215-832-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N BROAD ST, 2ND FLOOR",
            "address_2": "TEMPLE UNIVERSITY - TUTTLEMAN COUNSELING SERVICES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213429",
            "telephone_number": "215-204-7276",
            "fax_number": "215-204-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNBACH",
        "first_name": "MARNA",
        "middle_name": "RENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD026343E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000883320",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.