Individual provider Active NPI

Myriam Sterlin, MD

  • Internal Medicine Physician
  • East Orange, NJ
National Provider Identifier
1902825185
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06625800 Issued in NJ
Practice address
60 Evergreen Place
Suite 400
East Orange, NJ 07018
Phone
(973) 395-1550
Fax
(973) 395-1556
NPI assigned
Jul 19, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214510 NY
Internal Medicine Physician 207R00000X 25MA06625800 NJ Primary
Infectious Disease Physician 207RI0200X 214540 NY

Addresses

Primary practice location

60 Evergreen Place
Suite 400
East Orange, NJ 07018

Mailing address

21 Edgewood Road
Summit, NJ 07901
Phone (973) 395-1550

Other identifiers 2

IdentifierTypeStateIssuer
0010391MedicaidNJ
91002925400OtherNJAMERICHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000769 NJ Practitioner - Internal Medicine 4789649815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

2091 Millburn Ave
Maplewood, NJ 07040-3718
Phone (973) 378-2266

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

60 Vose Ave
South Orange, NJ 07079-2026
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052-5354
Phone (973) 736-5552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214540NYMDFamily Medicine Physician
25MA06625800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center of the Oranges Internal Medicine CurrentSince Feb 4, 2019 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
The Heart Center of the Oranges Internal Medicine Past Accepting new patients
Nbimc Hospitalist Internal Medicine Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
The Heart Center of the Oranges Past Accepting new patients

Locations

310 Central Ave
Ste 102
East Orange, NJ 07018
Phone (973) 207-1678

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

2091 Millburn Ave
Maplewood, NJ 07040
Phone (973) 378-2266

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

495 N 13th St
Newark, NJ 07107
Phone (973) 268-1400

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1902825185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EDGEWOOD ROAD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PLACE",
            "address_2": "SUITE 400",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLIN",
        "first_name": "MYRIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214510",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06625800",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "214540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010391",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91002925400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.