Active NPI
Jon Kogod Sternburg, MD
- Family Medicine Physician
- Honesdale, PA
National Provider Identifier
1083675870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD025493E
- Practice address
- 1839 Fair Ave
Honesdale, PA 18431-2121 - Phone
- (570) 251-6500
- Fax
- (570) 253-8174
- NPI assigned
- Mar 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD025493E | PA | Primary |
| Family Medicine Physician | 207Q00000X | 1471641 | NY |
Addresses
Primary practice location
1839 Fair Ave
Honesdale, PA 18431-2121
Mailing address
1839 Fair Ave
Honesdale, PA 18431-2121
Phone (570) 251-6500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00679718 | Medicaid | NY | |
| 29942 | Other | GEISINGER HEALH PLAN ID | |
| 69A131 | Other | NY | BLUE SHIELD ID NUMBER |
| 000835304 | Medicaid | PA | |
| 002313 | Other | FIRST PRIORITY HEALTH ID | |
| ST415829 | Other | PA | BLUE SHIELD ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1471641 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Physicians, LTD | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Honesdale, PA
- NPI 1093868275
-
- Family Medicine Physician
- Honesdale, PA
- NPI 1366595803
-
- Family Medicine Physician
- Narrowsburg, NY
- NPI 1831242395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257465600000",
"number": "1083675870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 FAIR AVE",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184312121",
"telephone_number": "570-251-6500",
"fax_number": "570-253-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 FAIR AVE",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184312121",
"telephone_number": "570-251-6500",
"fax_number": "570-253-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERNBURG",
"first_name": "JON",
"middle_name": "KOGOD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2009-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD025493E",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "1471641",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00679718",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALH PLAN ID",
"identifier": "29942",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ID NUMBER",
"identifier": "69A131",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000835304",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH ID",
"identifier": "002313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ID NUMBER",
"identifier": "ST415829",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.