Individual provider Active NPI

Victor Michael Sternberg, DMD

  • Periodontics
  • Briarcliff Manor, NY
National Provider Identifier
1609906429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
28397 Issued in NY
Practice address
141 N State Rd
Briarcliff Manor, NY 10510-1459
Phone
(914) 762-1885
Fax
(914) 762-1880
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 28397 NY Primary

Addresses

Primary practice location

141 N State Rd
Briarcliff Manor, NY 10510-1459

Mailing address

141 N State Rd
Briarcliff Manor, NY 10510-1459
Phone (914) 762-1885

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012002073 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2961542766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28397NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates,PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609906429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101459",
            "telephone_number": "914-762-1885",
            "fax_number": "914-762-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N STATE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101459",
            "telephone_number": "914-762-1885",
            "fax_number": "914-762-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNBERG",
        "first_name": "VICTOR",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "28397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

Verify at the official NPI Registry.