Organization Active NPI

Dr Greg Davies & Dr Sharone Stern

  • Foot Surgery Podiatrist
  • Syosset, NY
National Provider Identifier
1164806758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005276 Issued in NY
Legal business name
DR GREG DAVIES & DR SHARONE STERN
Practice address
175 Jericho Tpke
Suite 300
Syosset, NY 11791-4532
Phone
(516) 496-7676
Fax
(516) 496-0422
NPI assigned
Jul 14, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sharone Stern, DPMNPI 1821075003
Title
Pres
Phone
(516) 496-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005276 NY Primary

Addresses

Primary practice location

175 Jericho Tpke
Suite 300
Syosset, NY 11791-4532

Mailing address

1144 Old Country Rd
Plainview, NY 11803-5047
Phone (516) 643-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160720002012 NY Part B Supplier - Clinic/Group Practice 3173816741 Receives reassigned benefits from 3 practitioners
Practice locations: Plainview, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164806758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035047",
            "telephone_number": "516-643-7688",
            "fax_number": "516-942-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 300",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-496-7676",
            "fax_number": "516-496-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GREG DAVIES & DR SHARONE STERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SHARONE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "516-496-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.