Susan Lynn Stern, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

036283 Issued in PA

Practice address

69 W 9TH St Ofc 1a
New York, NY 10011-8954

Phone

(212) 477-0430

Fax

(212) 477-0753

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851442727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 W 9TH ST OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118954",
            "telephone_number": "212-477-0430",
            "fax_number": "212-477-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 W 9TH ST OFC 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118954",
            "telephone_number": "212-477-0430",
            "fax_number": "212-477-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "036283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott W. Stern, LCSW-R
• Sheldon Jeffrey Stern, DDS
• Shelley Stern
• Steven B Stern, M.D.
• Susan Stern, PSY.D.
• Virginia Fraser Stern, LCSW-R
• Yaakov Stern, PH.D.
• Zeesy Stern, OTR/L
• Jaclyn Sternbach
• Alessandra Sternberg, PH.D.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.