Active NPI
Lawrence Gary Stern, D.C.
- Sports Physician Chiropractor
- Mount Kisco, NY
National Provider Identifier
1053411959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- X003954-1
- Practice address
- 121 Smith Ave
Mount Kisco, NY 10549-2855 - Phone
- (914) 218-6424
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | X003954-1 | NY | Primary |
Addresses
Primary practice location
121 Smith Ave
Mount Kisco, NY 10549-2855
Mailing address
121 Smith Ave
Mount Kisco, NY 10549-2855
Phone (914) 218-6424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040621001673 | NY | Practitioner - Chiropractic | 9133104417 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X003954-1 | NY | MD | Sports Physician Chiropractor |
| 003954 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1053411959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SMITH AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492855",
"telephone_number": "914-218-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SMITH AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492855",
"telephone_number": "914-218-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "LAWRENCE",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X003954-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
- Nancy Goll Stein, LCSW
- Jennifer Allyson Steinberg, PH.D.
- Stephanie O'Leary, Psy. D., PC (Westchester Psychological Services)
- Stephanie Tseng (Tseng Dermatology)
- Stern Chiropractic Integrative Wellness, P.C.
- Stephen L Stern, M.D.
- Shari Strikowsky Harvey, M.A.CCC-SLP
- Benna Strober, PSY.D.
- Corina M. Suciu, M.D.
- Mary Sufrin, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.