Individual provider Active NPI

Stephen I Strober, DDS

  • Endodontics
  • Forest Hills, NY
National Provider Identifier
1972789402
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
024678 Issued in NY
Practice address
7031 108TH St
Ste 5
Forest Hills, NY 11375-4450
Phone
(718) 268-1302
Fax
(718) 268-3603
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 024678 NY Primary

Addresses

Primary practice location

7031 108TH St
Ste 5
Forest Hills, NY 11375-4450

Mailing address

7031 108TH St
Ste 5
Forest Hills, NY 11375-4450
Phone (718) 268-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024678NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1972789402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 108TH ST",
            "address_2": "STE 5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754450",
            "telephone_number": "718-268-1302",
            "fax_number": "718-268-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 108TH ST",
            "address_2": "STE 5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754450",
            "telephone_number": "718-268-1302",
            "fax_number": "718-268-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROBER",
        "first_name": "STEPHEN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "024678",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 15, 2008; 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.