Active NPI
Manny Sternberg, M.D.
- Surgery Physician
- Forest Hills, NY
National Provider Identifier
1295066520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 121042
- Practice address
- 11045 Queens Blvd
Apt. 810
Forest Hills, NY 11375-5501 - Phone
- (718) 459-5959
- NPI assigned
- Jan 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 121042 | NY | Primary |
Addresses
Primary practice location
11045 Queens Blvd
Apt. 810
Forest Hills, NY 11375-5501
Mailing address
11045 Queens Blvd
Apt. 810
Forest Hills, NY 11375-5501
Phone (718) 459-5959
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121042 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1295066520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11045 QUEENS BLVD",
"address_2": "APT. 810",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755501",
"telephone_number": "718-459-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11045 QUEENS BLVD",
"address_2": "APT. 810",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755501",
"telephone_number": "718-459-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERNBERG",
"first_name": "MANNY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "121042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.