Active NPI
Jeffrey A. Sage, MS, ATC, CSCS, PES
- Athletic Trainer
- Amherst, NY
National Provider Identifier
1003959701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000050-1
- Practice address
- 4380 Main St
Daemen College Athletic Dept
Amherst, NY 14226-3544 - Phone
- (716) 839-8220
- Fax
- (716) 839-8434
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000050-1 | NY | Primary |
Addresses
Primary practice location
4380 Main St
Daemen College Athletic Dept
Amherst, NY 14226-3544
Mailing address
11446 Howe Rd
Akron, NY 14001-9477
Phone (716) 759-1670
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000050-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1003959701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11446 HOWE RD",
"city": "AKRON",
"state": "NY",
"postal_code": "140019477",
"telephone_number": "716-759-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 MAIN ST",
"address_2": "DAEMEN COLLEGE ATHLETIC DEPT",
"city": "AMHERST",
"state": "NY",
"postal_code": "142263544",
"telephone_number": "716-839-8220",
"fax_number": "716-839-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "JEFFREY",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "MS, ATC, CSCS, PES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000050-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.