Organization Active NPI

Harold S.Stern D.D.S., P.C.

  • General Practice Dentistry
  • Forest Hills, NY
National Provider Identifier
1881809168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050749 Issued in NY
Legal business name
HAROLD S.STERN D.D.S., P.C.
Practice address
10917 72ND Rd
Forest Hills, NY 11375-5336
Phone
(718) 261-6464
Fax
(718) 261-6665
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harold Stern, DDSNPI 1346451846
Title
Owner
Phone
(718) 261-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 050749 NY Primary

Addresses

Primary practice location

10917 72ND Rd
Forest Hills, NY 11375-5336

Mailing address

10917 72ND Rd
Forest Hills, NY 11375-5336
Phone (718) 261-6464

Other identifiers 1

IdentifierTypeStateIssuer
02585651MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881809168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 72ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755336",
            "telephone_number": "718-261-6464",
            "fax_number": "718-261-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10917 72ND RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755336",
            "telephone_number": "718-261-6464",
            "fax_number": "718-261-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD S.STERN D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-261-6464",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02585651",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.