Individual provider Active NPI

Sidney S Sternberger, DMD

  • Dentist
  • Plainview, NY
National Provider Identifier
1285876805
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054486 Issued in NY
Practice address
1097 Old Country Rd Ste 209
Plainview, NY 11803
Phone
(917) 620-4577
Fax
(516) 931-6608
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 054486 NY
Dentist 122300000X 054486 NY Primary

Addresses

Primary practice location

1097 Old Country Rd Ste 209
Plainview, NY 11803

Mailing address

1097 Old Country Rd Ste 209
Plainview, NY 11803-6505
Phone (917) 620-4577

Other practice location 1

374 Stockholm St.
Wyckoff Heights Medical Center Dept Dental Medicine
Brooklyn, NY 11237
Phone (718) 963-7174

Other practice location 2

374 Stockholm St.
Wyckoff Heights Medical Center Dept Dental Medicine
Brooklyn, NY 11237
Phone (718) 963-7174

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211002497 NY Practitioner - Oral Surgery 1951605955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Dental Services P.C. Dentist CurrentSince Nov 22, 2015 Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

Interoperability endpoints

  • Direct secure messaging: ssternberger683142@nychhc.direct-ci.com

Organizations & group practices 1

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1285876805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY RD STE 209",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036505",
            "telephone_number": "917-620-4577",
            "fax_number": "516-931-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 OLD COUNTRY RD STE 209",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "917-620-4577",
            "fax_number": "516-931-6608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St.",
            "address_2": "Wyckoff Heights Medical Center Dept Dental Medicine",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11237",
            "country_code": "US",
            "telephone_number": "718-963-7174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 Stockholm St.",
            "address_2": "Wyckoff Heights Medical Center Dept Dental Medicine",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11237",
            "country_code": "US",
            "telephone_number": "718-963-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERNBERGER",
        "first_name": "SIDNEY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "054486",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.