Active NPI
Judith Ann Sternberg, NP
- Women's Health Nurse Practitioner
- Rochester, NY
National Provider Identifier
1306866439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 420100
- Practice address
- 1415 Portland Ave
Suite 400
Rochester, NY 14621-3038 - Phone
- (585) 922-4200
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 420100 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave
Suite 400
Rochester, NY 14621-3038
Mailing address
1415 Portland Ave
Suite 400
Rochester, NY 14621-3038
Phone (585) 922-4200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7769780 | Other | NY | AETNA |
| P019420100 | Other | NY | BLUE CHOICE |
| 110429CK | Other | NY | PREFERRED CARE |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1306866439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE",
"address_2": "SUITE 400",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213038",
"telephone_number": "585-922-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE",
"address_2": "SUITE 400",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213038",
"telephone_number": "585-922-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERNBERG",
"first_name": "JUDITH",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "420100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7769780",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P019420100",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "110429CK",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.