Active NPI
Rod Stern, D.D.S.
- Pediatric Dentistry
- Manhasset, NY
National Provider Identifier
1699062588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 056227
- Practice address
- 444 Community Dr Ste 201
Manhasset, NY 11030 - Phone
- (516) 487-5437
- NPI assigned
- Jun 30, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 056227 | NY | Primary |
Addresses
Primary practice location
444 Community Dr Ste 201
Manhasset, NY 11030
Mailing address
444 Community Dr Ste 201
Manhasset, NY 11030-3800
Phone (516) 487-5437
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056227 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commack Pediatric Dentistry, P.C. | Pediatric Dentistry | Current | Accepting new patients |
| Shining Smiles Pediatric Dentistry, P.C. | Past | Accepting new patients |
Locations
2171 Jericho Tpke
Ste 145
Commack, NY 11725
Phone (631) 462-6888
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Commack, NY
- NPI 1609536390
-
- Dental Clinic/Center
- Manhasset, NY
- NPI 1801294335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1699062588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR STE 201",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303800",
"telephone_number": "516-487-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR STE 201",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-487-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "ROD",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "056227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.