Individual provider Active NPI

Stere Carniciu, M.D.

  • Family Medicine Physician
  • Dobbs Ferry, NY
National Provider Identifier
1154301737
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204658 Issued in NY
Practice address
20 Beacon Hill Dr
Suite2-B
Dobbs Ferry, NY 10522-2402
Phone
(914) 591-6888
Fax
(914) 591-7938
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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 204658 NY Primary

Addresses

Primary practice location

20 Beacon Hill Dr
Suite2-B
Dobbs Ferry, NY 10522-2402

Mailing address

14 Church St
Suite 200
Ossining, NY 10562-4831
Phone (914) 923-9414

Other identifiers 2

IdentifierTypeStateIssuer
01694682MedicaidNY
1154301737OtherNPI

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
I20050930000051 NY Practitioner - Family Practice 4688609415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SJR Medical, PCGroup PAC ID 5991608440, 43 clinicians

Practice addresses (Care Compare)

128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone (914) 693-6500

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SJR Medical, PC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Nov 26, 2018 Accepting new patients
North Star Medical Group, P.C. Family Medicine Past Accepting new patients

Locations

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

128 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 693-6500

300 Community Dr
Plandome, NY 11030

777 N Broadway
Ste 305
Sleepy Hollow, NY 10591
Phone (914) 366-6120

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

972 Brush Hollow Rd
Fl 2
Westbury, NY 11590
Phone (718) 335-0628

1022 N Broadway
Yonkers, NY 10701
Phone (914) 963-0284

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

1019 Yonkers Ave
Yonkers, NY 10704
Phone (612) 644-9447

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: carniciu@stjohnsmedicalpc.directmedgenehr.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1154301737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHURCH ST",
            "address_2": "SUITE 200",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624831",
            "telephone_number": "914-923-9414",
            "fax_number": "914-923-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEACON HILL DR",
            "address_2": "SUITE2-B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222402",
            "telephone_number": "914-591-6888",
            "fax_number": "914-591-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNICIU",
        "first_name": "STERE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01694682",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154301737",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.