Active NPI
Stephen Sheinberg, DDS
- Periodontics
- Bronx, NY
National Provider Identifier
1649276635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 031060-1
- Practice address
- 1770 Grand Concourse
Bronx, NY 10457-5524 - Phone
- (718) 901-8110
- Fax
- (718) 901-8121
- NPI assigned
- Jun 23, 2005
- Last updated
- Feb 28, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 031060-1 | NY | Primary |
Addresses
Primary practice location
1770 Grand Concourse
Bronx, NY 10457-5524
Mailing address
1770 Grand Concourse
Bronx, NY 10457-5524
Phone (718) 901-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131024001086 | NJ | Order and Referring Only - Oral Surgery | 4183859317 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031060-1 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1649276635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104575524",
"telephone_number": "718-901-8110",
"fax_number": "718-901-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104575524",
"telephone_number": "718-901-8110",
"fax_number": "718-901-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEINBERG",
"first_name": "STEPHEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "031060-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.