Individual provider Active NPI

Sharone Stern, DPM

  • Foot Surgery Podiatrist
  • Syosset, NY
National Provider Identifier
1821075003
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005276 Issued in NY
Practice address
175 Jericho Tpke
Suite 300
Syosset, NY 11791-4532
Phone
(516) 496-7676
Fax
(516) 942-0625
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005276 NY Primary

Addresses

Primary practice location

175 Jericho Tpke
Suite 300
Syosset, NY 11791-4532

Mailing address

1144 Old Country Rd
Plainview, NY 11803-5047
Phone (516) 942-0620

Other identifiers 2

IdentifierTypeStateIssuer
P61732OtherNYNATIONAL GOVERMENT SERVICES, INC.
7395900001OtherNYPTAN

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
I20070308000027 NY Practitioner - Podiatry 9830144286 Reassigns benefits to 2 organizations
Practice locations: Plainview, NY; Syosset, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005276NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetic Foot Care Services, PC Current Accepting new patients
Dr Greg Davies & Dr Sharone Stern Foot Surgery CurrentSince May 1, 2016 Accepting new patients

Locations

7203 164th St
Fresh Meadows, NY 11365
Phone (718) 591-3320

50 Hempstead Ave
Ste B
Lynbrook, NY 11563
Phone (516) 599-0302

14004 248th St
Rosedale, NY 11422
Phone (718) 949-4844

175 Jericho Tpke
Ste 300
Syosset, NY 11791
Phone (516) 496-7676

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: sstern75313@direct.medisys.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1821075003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035047",
            "telephone_number": "516-942-0620",
            "fax_number": "516-942-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 300",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-496-7676",
            "fax_number": "516-942-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "SHARONE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERMENT SERVICES, INC.",
            "identifier": "P61732",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7395900001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.