Mark Jan Sterling MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

191573-1 Issued in NY

Legal business name

MARK JAN STERLING MD PC

Practice address

1056 W Jericho Tpke
Smithtown, NY 11787-3212

Phone

(631) 343-7700

Fax

(631) 267-4141

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mark Jan Sterling, MDNPI 1114949450

Title

Owner

Phone

(631) 343-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Mark Jan Sterling MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suffolk Spine and Rehabilitation Medicine

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Smithtown, NY
  • NPI 1497166615
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark J Sterling, M.D.

  • Specialist
  • Smithtown, NY
  • NPI 1114949450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1487032074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873212",
            "telephone_number": "631-343-7700",
            "fax_number": "631-267-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 W JERICHO TPKE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873212",
            "telephone_number": "631-343-7700",
            "fax_number": "631-267-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JAN STERLING MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-343-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "191573-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina I Peredo MD PC
• Sarah Marine, FNP-C
• Luiziana Manuela Marinescu, M.D.
• Marjorie C. Ravitz DPM PC
• Mark J. Zuckerman, Physician, P.C.
• Mark Tan, M.D., P.C.
• Marotta Facial Plastic Surgery, PC
• Andrew Marotta, RN
• James Christopher Marotta, MD
• Carlos C Marrero Prats, M.D.

• Specialist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.