Healthcare Provider Details

I. General information

NPI: 1184730699
Provider Name (Legal Business Name): MARTIN STERNBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 55TH ST
BROOKLYN NY
11220-2559
US

IV. Provider business mailing address

PO BOX 48259
NEWARK NJ
07101-4800
US

V. Phone/Fax

Practice location:
  • Phone: 718-630-7415
  • Fax: 718-630-7437
Mailing address:
  • Phone: 718-630-7235
  • Fax: 718-630-7437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME182010
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number186726
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number186726
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: