Individual provider Active NPI

Mark J Sterling, M.D.

  • Specialist
  • Smithtown, NY
National Provider Identifier
1114949450
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1917573-1 Issued in NY
Practice address
48 Route 25a
Suite 106
Smithtown, NY 11787-1431
Phone
(631) 863-1007
Fax
(631) 862-3668
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1917573-1 NY Primary

Addresses

Primary practice location

48 Route 25a
Suite 106
Smithtown, NY 11787-1431

Mailing address

48 Route 25a
Suite 106
Smithtown, NY 11787-1431
Phone (631) 863-1007

Other identifiers 1

IdentifierTypeStateIssuer
71Z721OtherNYEMPIRE BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150803001873 NY Practitioner - Physical Medicine and Rehabilitation 1658367321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2171 Jericho Tpke
Suite 205
Commack, NY 11725-2900
Phone (613) 343-7700

Merit-based Incentive Payment System (MIPS)

Final score
22.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1917573-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Jan Sterling MD PC Specialist CurrentSince Apr 22, 2014 Accepting new patients
Mirza Orthopedics PC Current Accepting new patients
Suffolk Spine and Rehabilitation Medicine Past Accepting new patients

Locations

2171 Jericho Tpke
Ste 205
Commack, NY 11725
Phone (613) 343-7700

1056 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 486-9100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1114949450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 106",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-863-1007",
            "fax_number": "631-862-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 106",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-863-1007",
            "fax_number": "631-862-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1917573-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "71Z721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.