Individual provider Active NPI

Jeffrey Marc Sternlicht, D.D.S.

  • General Practice Dentistry
  • Chestnut Ridge, NY
National Provider Identifier
1215017686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040325 Issued in NY
Practice address
57 Scotland Rd
Chestnut Ridge, NY 10977-6219
Phone
(845) 356-5060
Fax
(845) 356-5060
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040325 NY Primary

Addresses

Primary practice location

57 Scotland Rd
Chestnut Ridge, NY 10977-6219

Mailing address

57 Scotland Rd
Chestnut Ridge, NY 10977-6219
Phone (845) 356-5060

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215017686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SCOTLAND RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776219",
            "telephone_number": "845-356-5060",
            "fax_number": "845-356-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SCOTLAND RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776219",
            "telephone_number": "845-356-5060",
            "fax_number": "845-356-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNLICHT",
        "first_name": "JEFFREY",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.