Individual provider Active NPI

Lydia Marie Sternfeld, C.O.T.A.

  • Contractor
  • Yonkers, NY
National Provider Identifier
1386958593
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
006694-1 Issued in NY
Practice address
1034 N Broadway
Yonkers, NY 10701-1328
Phone
(914) 377-8800
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 006694-1 NY Primary

Addresses

Primary practice location

1034 N Broadway
Yonkers, NY 10701-1328

Mailing address

1034 N Broadway
Yonkers, NY 10701-1328
Phone (914) 377-8800

Other names 1

  • Lydia Marie Montgomery Former name

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

State licenses

LicenseStateTypeSpecialty
006694-1NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1386958593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011328",
            "telephone_number": "914-377-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011328",
            "telephone_number": "914-377-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNFELD",
        "first_name": "LYDIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "006694-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "MONTGOMERY",
            "middle_name": "MARIE",
            "credential": "C.O.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.