Active NPI
Joseph Stern, D.D.S.
- Endodontics
- Clifton, NJ
National Provider Identifier
1316390362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 058610
- Practice address
- 1001 Clifton Ave
Clifton, NJ 07013-3586 - Phone
- (973) 773-6050
- NPI assigned
- Jul 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 058610 | NY | Primary |
| Dentist | 122300000X | 22DI02615200 | NJ |
Addresses
Primary practice location
1001 Clifton Ave
Clifton, NJ 07013-3586
Mailing address
1001 Clifton Ave
Clifton, NJ 07013-3586
Phone (973) 773-6050
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170727000732 | NY | Order and Referring Only - Other (Non-Physician) | 8224308002 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02615200 | NJ | MD | Dentist |
| 058610 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1316390362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133586",
"telephone_number": "973-773-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133586",
"telephone_number": "973-773-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "058610",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02615200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.