Daniel David Stern, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058086 Issued in NY

Practice address

122 Harrison St
Lawrence, NY 11559-1932

Phone

(917) 757-2790

NPI assigned

May 21, 2015

Last updated

Feb 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fauquier Opco LLC

  • Skilled Nursing Facility
  • Warrenton, VA
  • NPI 1699509869

  Indirect Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1750760807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HARRISON ST",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591932",
            "telephone_number": "917-757-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HARRISON ST",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591932",
            "telephone_number": "917-757-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04225509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spine Care Medicine PC
• Margo F. Spitzer, MD
• Naomi Steier, LMHC-LP
• Benjamin Stein, PHARMACIST
• Chani Michelle Stern, PT
• Hillel Sternstein, LCSW
• Abigail Stoll, OTR/L
• Superior Medical Transportation
• Superior Medical Transportation LTD
• Jarin Tasnim

• General Practice Dentistry in Lawrence, NY
• Providers in Lawrence, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.